Most Relevant Information
Provider Data
| NPI Number: | 1003290552 |
| Provider Name: | TRACY L KERSTEN APNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 6436 |
Most Important Dates
| Enumeration Date: | 07/15/2015 |
| Last Updated: | 03/04/2022 |
Provider Practice Location
9200 W WISCONSIN AVE
MILWAUKEE
WI
532263522
Practice Location Phone/Fax
| Phone: | 4148054600 |
| Fax: | 4148056808 |
Provider Mailing Location
9200 W WISCONSIN AVE
MILWAUKEE
WI
532263522
Provider Mailing Phone/Fax
| Phone: | 4148054600 |
| Fax: | 4148056808 |