Wasley, Kristin Lyn

Wasley, Kristin Lyn is an individual health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. She recently has 2 registered licenses in different health care specialties including 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. Wasley, Kristin Lyn can be contacted via phone (262) 741-2000.

Contact Information

Primary practice address
W3985 County Road Nn Elkhorn WI 53121-4337
Phone: (262) 741-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209009711 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7723 Wisconsin

Profile Details

NPI number 1255688305
LBN Legal business name Wasley, Kristin Lyn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2012
Last updated Oct 23rd, 2023 - about last year

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 1255688305 NPPES
Wisconsin MEDICAID 100187312

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