MS. KAITLYN N PUFAHL (NPI# 1710272778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710272778 |
| Entity Type | Individual |
| Full Name | MS. KAITLYN N PUFAHL |
| Credential | CPNP |
| Practice Address |
109 Warren St Ste 4 Beaver Dam WI 53916-3082 |
| Practice Telephone | 9208853305 |
| Practice Fax Number | 9208855506 |
| Mailing Telephone | 9208853305 |
| Mailing Fax Number | 9208855506 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
4453-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21319100 | 05 |
| Street Address |
109 WARREN ST STE 4 |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275749566 | Community Pediatrics Sc | Nurse Practitioner | 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 | 2007-05-15 |
| 1881103893 | Brittany N Vanden Heuvel | Nurse Practitioner | 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 | 2017-09-21 |
| 1063878643 | Laura M Pierre | Nurse Practitioner | 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 | 2016-01-12 |
| 1972755783 | Laura Jane Lerwick | Nurse Practitioner | 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 | 2008-10-13 |
| 1437354602 | Jay M Miesfeld | Pediatrics | 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366772345 | Rhonda Roell Werner | Clinical Nurse Specialist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2010-01-13 |
| 1336287960 | Faith Lynn Junghahn | Clinical Nurse Specialist | 9000 W Wisconsin Ave, Childrens Hospital Wisconsin, Milwaukee, WI 53226-3518 | 2007-02-03 |
| 1194774240 | Susan Tuomi Cornwell | Clinical Nurse Specialist | 451 Junction Road, Madison, WI 53717 | 2006-05-08 |
| City | BEAVER DAM |
| Zip Code | 53916 |
Please comment or provide details below to improve the information on MS. KAITLYN N PUFAHL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.