Kautza, Mary Jo

Kautza, Mary Jo is an individual health care provider with primary practice located at 112 E 5Th Ave , Antigo WI 54409-2710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kautza, Mary Jo can be contacted via phone (715) 623-2331.

Contact Information

Primary practice address
112 E 5Th Ave Antigo WI 54409-2710
Phone: (715) 623-2331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6934-33 Wisconsin

Profile Details

NPI number 1861847667
LBN Legal business name Kautza, Mary Jo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Apr 28th, 2016 - about 10 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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