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KIM MARIE WALTERS-CROSS NURSE
NPI 1255662078
Licensed Practical Nurse in Antigo, WI

Active since January 18, 2010
2215 PROGRESS BLVD, ANTIGO, WI 54409(715) 623-3797(715) 627-2738 Get Directions Write a Review

NPPES record last updated: January 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Marie Walters-cross Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM MARIE WALTERS-CROSS NURSE (NPI 1255662078) is an individual licensed practical nurse in Antigo, Wisconsin, licensed in Wisconsin (307904-031) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1255662078
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIM MARIE WALTERS-CROSSCredential: NURSE
Location Address2215 PROGRESS BLVDAntigo, WI 54409-2480
Mailing AddressW6092 Woods Flowage RdBryant, WI 54418-9591 · (715) 623-3506 · Fax (715) 627-2738
Phone(715) 623-3797
Fax(715) 627-2738
Sole ProprietorNo
Enumeration DateJanuary 18, 2010
✔ NPI 1255662078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 307904-031
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2215 PROGRESS BLVD, Antigo, WI 54409
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASPIRUS MEDICAL GROUP, INC.
Clinic/Center
2215 PROGRESS BLVD
ANTIGO, WI 54409
Langlade County (715) 623-2351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Walters-cross's NPI number?

The NPI number for Kim Walters-cross is 1255662078. It was assigned to this individual provider in the NPPES registry on January 18, 2010.

Where is Kim Walters-cross located?

Kim Walters-cross practices at 2215 Progress Blvd, Antigo, WI 54409. The listed phone number is (715) 623-3797.

What is Kim Walters-cross's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kim Walters-cross was last updated on January 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.