Basic Information
Provider Information
NPI: 1154877165
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRAN
FirstName: KIMBERLY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APNP
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 202 S PARK ST
Address2:  
City: MADISON
State: WI
PostalCode: 537151507
CountryCode: US
TelephoneNumber: 6084176000
FaxNumber:  
Practice Location
Address1: 3102 MERITER WAY
Address2:  
City: MADISON
State: WI
PostalCode: 537195833
CountryCode: US
TelephoneNumber: 6084178800
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/30/2016
LastUpdateDate: 08/30/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X6911-33WIY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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