Provider Demographics
NPI:1003100033
Name:OBERMANN, KATHY LYNNE (ANP-BC APNP)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:LYNNE
Last Name:OBERMANN
Suffix:
Gender:F
Credentials:ANP-BC APNP
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:LYNNE
Other - Last Name:OSSWALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-5703
Mailing Address - Country:US
Mailing Address - Phone:715-387-5511
Mailing Address - Fax:
Practice Address - Street 1:390 ORBITING DR
Practice Address - Street 2:
Practice Address - City:MOSINEE
Practice Address - State:WI
Practice Address - Zip Code:54455-1763
Practice Address - Country:US
Practice Address - Phone:715-693-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI124228-30163W00000X
WI4408-33363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care