| Kathryn L Spors, APRN, FNP | |
|
1225 Remmel Dr, Johnson Creek, WI 53094-8511 | |
| (920) 674-6255 | |
| (920) 674-5288 |
| Full Name | Kathryn L Spors |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1225 Remmel Dr, Johnson Creek, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952743072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 161498-30 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5367-33 (Wisconsin) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn L Spors, APRN, FNP 147 W Rockwell St, Jefferson, WI 53549-2048 Ph: (920) 674-6255 | Kathryn L Spors, APRN, FNP 1225 Remmel Dr, Johnson Creek, WI 53094-8511 Ph: (920) 674-6255 |
Laura M Fritz, RN, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Remmel Dr, Johnson Creek, WI 53094 Phone: 920-674-6255 Fax: 920-674-5288 | |
Mrs. Jenell Lynn Valenzuela, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Village Walk Ln, Johnson Creek, WI 53038 Phone: 920-542-3010 | |
Nancy Ryan, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1225 Remmel Dr, Johnson Creek, WI 53094 Phone: 920-674-6255 Fax: 920-674-5288 |