Kathy Buran

Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Onalaska, WI

NPI 1902532963 · NPPES record last updated Aug 1, 2022

Key facts

NPI
1902532963
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
License
17243530 (WI)
Practice address
9532 E 16 Frontage Rd
Onalaska, WI 54650-6739
Phone
(608) 783-0506
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
17243530WIMDAddiction (Substance Use Disorder) Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 17243530 WI Yes

Addresses

Primary practice location

9532 E 16 Frontage Rd
Onalaska, WI 54650-6739

Mailing address

9532 E 16 Frontage Rd
Onalaska, WI 54650-6739
Phone (608) 783-0506

Other identifiers

IdentifierTypeStateIssuer
1003150004MedicaidWI

Other providers in Onalaska, WI

All providers in Onalaska, WI · Addiction (Substance Use Disorder) Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.