Most Relevant Information
Provider Data
| NPI Number: | 1003364811 |
| Provider Name: | KAITLIN M MICHEL FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 196487-30 |
Most Important Dates
| Enumeration Date: | 09/21/2016 |
| Last Updated: | 12/15/2022 |
Provider Practice Location
5433 W FOND DU LAC AVE
MILWAUKEE
WI
532161382
Practice Location Phone/Fax
| Phone: | 4142778909 |
| Fax: | 4142778939 |
Provider Mailing Location
5433 W FOND DU LAC AVE
MILWAUKEE
WI
532161382
Provider Mailing Phone/Fax
| Phone: | 4142778909 |
| Fax: | 4142778939 |