Provider Demographics
NPI:1659705507
Name:VETTERKIND, KIRSTEN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:
Last Name:VETTERKIND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N OAK AVENUE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-4938
Mailing Address - Country:US
Mailing Address - Phone:715-389-0632
Mailing Address - Fax:
Practice Address - Street 1:3605 STEWART AVE STE 200
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4938
Practice Address - Country:US
Practice Address - Phone:715-847-0800
Practice Address - Fax:715-842-0075
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR39475363LF0000X
WI5663363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily