Brucato, Kathryn
Brucato, Kathryn is an individual health care provider with primary practice located at 120 Chapman Farms Blvd , Mukwonago WI 53149-8877. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brucato, Kathryn can be contacted via phone (262) 363-6160.Contact Information
Primary practice address
120 Chapman Farms Blvd
Mukwonago WI 53149-8877
Phone: (262) 363-6160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 22356 | Wisconsin |
| Nursing Service Providers / Registered Nurse | 163W00000X | 235153-30 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 22356-875 | Wisconsin |
Profile Details
| NPI number | 1447920079 |
|---|---|
| LBN Legal business name | Brucato, Kathryn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2021 |
| Last updated | Nov 16th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447920079 | NPPES |
| Wisconsin | MEDICAID | 100208921 |
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