Provider Demographics
NPI:1972923530
Name:KEISLER, KATHERINE STOLP (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:STOLP
Last Name:KEISLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 COUNTY HIGHWAY I
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-2652
Mailing Address - Country:US
Mailing Address - Phone:715-726-3096
Mailing Address - Fax:
Practice Address - Street 1:2829 COUNTY HIGHWAY I
Practice Address - Street 2:SUITE 2
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-2652
Practice Address - Country:US
Practice Address - Phone:715-726-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5764-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily