Provider Demographics
NPI:1033183058
Name:KUGLITSCH, MAUREEN R (APNP)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:R
Last Name:KUGLITSCH
Suffix:
Gender:F
Credentials:APNP
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Mailing Address - Street 1:WAUKESHA HEALTH CARE INC.
Mailing Address - Street 2:N17 W24100 RIVERWOOD DRIVE SUITE 250
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1177
Mailing Address - Country:US
Mailing Address - Phone:262-650-4100
Mailing Address - Fax:262-928-5835
Practice Address - Street 1:COMMUNITY NURSING CLINIC AT WCTC
Practice Address - Street 2:800 MAIN STREET ROOM SO173
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072
Practice Address - Country:US
Practice Address - Phone:262-695-1888
Practice Address - Fax:262-695-1884
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2013-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI273363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner