Shtulberg, Kristin M
Shtulberg, Kristin M is an individual health care provider with primary practice located at 12203 Corporate Pkwy , Mequon WI 53092-3388. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shtulberg, Kristin M can be contacted via phone (262) 387-8200.Contact Information
Primary practice address
12203 Corporate Pkwy
Mequon WI 53092-3388
Phone: (262) 387-8200
Fax: (262) 387-8239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 171140-30 | Wisconsin |
| Nursing Service Providers / Registered Nurse | 163W00000X | 041.405240 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6230 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 6230 | Wisconsin |
Profile Details
| NPI number | 1285966101 |
|---|---|
| LBN Legal business name | Shtulberg, Kristin M |
| Credentials | RN, APN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2010 |
| Last updated | Feb 27th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285966101 | NPPES |
| Wisconsin | MEDICAID | 100043192 | |
| Wisconsin | MEDICAID | 1285966101 |
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