Provider Demographics
NPI:1750892113
Name:MOLITOR, KAREN LYNN (DNP, FNP, RN)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LYNN
Last Name:MOLITOR
Suffix:
Gender:F
Credentials:DNP, FNP, RN
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2600 N. MAYFAIR RD. METROPOLITAN UROLOGY
Mailing Address - Street 2:SUITE 545
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226
Mailing Address - Country:US
Mailing Address - Phone:414-476-0430
Mailing Address - Fax:414-476-3242
Practice Address - Street 1:2600 N. MAYFAIR RD. METROPOLITAN UROLOGY
Practice Address - Street 2:SUITE 545
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:414-476-0430
Practice Address - Fax:414-476-3242
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8087363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner