Rodeheaver, Kristen S

Rodeheaver, Kristen S is an individual health care provider with primary practice located at 11040 N State Rd 77 , Hayward WI 54843-3606. She recently has 2 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 / Family is her primary health care specialty. Rodeheaver, Kristen S can be contacted via phone (715) 934-4321.

Contact Information

Primary practice address
11040 N State Rd 77 Hayward WI 54843-3606
Phone: (715) 934-4321
Fax: (715) 934-4273
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 105507 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1046-33 Wisconsin

Profile Details

NPI number 1437173127
LBN Legal business name Rodeheaver, Kristen S
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 24th, 2023 - about 3 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 1437173127 NPPES
Wisconsin MEDICAID 43912000

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