Van Veldhuisen, Kathleen M

Van Veldhuisen, Kathleen M is an individual health care provider with primary practice located at 903 Mineral Point Ave , Janesville WI 53548-2970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Van Veldhuisen, Kathleen M can be contacted via phone (608) 563-7720.

Contact Information

Primary practice address
903 Mineral Point Ave Janesville WI 53548-2970
Phone: (608) 563-7720
Fax: (608) 756-8224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5164-33 Wisconsin

Profile Details

NPI number 1154699148
LBN Legal business name Van Veldhuisen, Kathleen M
Credentials APRN, ANP, ACHPN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2011
Last updated Sep 26th, 2016 - about 9 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154699148 NPPES
Wisconsin MEDICAID 1154699148

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