Pitzen, Kelly Lauren

Pitzen, Kelly Lauren is an individual health care provider with primary practice located at 1902 Mead Ave , Sheboygan WI 53081-6140. 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. Pitzen, Kelly Lauren can be contacted via phone (414) 329-4979.

Contact Information

Primary practice address
1902 Mead Ave Sheboygan WI 53081-6140
Phone: (414) 329-4979
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 178183 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F12190231 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9892 Wisconsin

Profile Details

NPI number 1922636877
LBN Legal business name Pitzen, Kelly Lauren
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2020
Last updated Dec 1st, 2021 - about 5 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 1922636877 NPPES
Wisconsin MEDICAID 100099262

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