Provider Demographics
NPI:1376045856
Name:ANDRE, KARI B (NP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:B
Last Name:ANDRE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:B
Other - Last Name:ZIEMBA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:BELOIT HEALTH SYSTEM INC.
Mailing Address - Street 2:BELOIT CLINIC 1905 E. HUEBBE PARKWAY
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1842
Mailing Address - Country:US
Mailing Address - Phone:608-364-2220
Mailing Address - Fax:608-363-7306
Practice Address - Street 1:BELOIT HEALTH SYSTEM INC.
Practice Address - Street 2:BELOIT CLINIC 1905 E. HUEBBE PARKWAY
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1842
Practice Address - Country:US
Practice Address - Phone:608-364-2220
Practice Address - Fax:608-363-7306
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8258-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100075425Medicaid