Ms Kaitlyn N Pufahl, CPNP is a
Clinical Nurse Specialist - Pediatrics based in Beaver Dam, Wisconsin. Ms Kaitlyn N Pufahl is licensed to practice in Wisconsin (license number 4453-33) and her current practice location is
109 Warren St Ste 4, Beaver Dam, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 885-3305.
NPI number for Ms Kaitlyn N Pufahl is 1710272778 and her current mailing address is 109 Warren St Ste 4, Beaver Dam, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710272778.
Provider's Profile
Full Name | Ms Kaitlyn N Pufahl |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Pediatrics |
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Location | 109 Warren St Ste 4, Beaver Dam, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710272778
- Provider Enumeration Date: 06/17/2011
- Last Update Date: 07/20/2011
Medical Identifiers
Medical identifiers for Ms Kaitlyn N Pufahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710272778 | NPI | - | NPPES |
21319100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0200X | Clinical Nurse Specialist - Pediatrics | 4453-33 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kaitlyn N Pufahl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kaitlyn N Pufahl, CPNP 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 Ph: (920) 885-3305 | Ms Kaitlyn N Pufahl, CPNP 109 Warren St Ste 4, Beaver Dam, WI 53916-3082 Ph: (920) 885-3305 |
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