Provider Demographics
NPI:1326208711
Name:HILGART, KRISTI LEE (APNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:LEE
Last Name:HILGART
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:MISS
Other - First Name:KRISTI
Other - Middle Name:LEE
Other - Last Name:HOSTETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:N162W19351 OAKLAND DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:WI
Mailing Address - Zip Code:53037-9532
Mailing Address - Country:US
Mailing Address - Phone:262-677-4311
Mailing Address - Fax:
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-6268
Practice Address - Fax:414-805-6269
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI131979-30163W00000X
WI2621-33363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse