MS. KRISTINE A LYON APNP
NPI 1962662734
Nurse Practitioner - Primary Care in Waupun, WI
Active since June 14, 2008
About Ms. Kristine A Lyon Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTINE A LYON APNP (NPI 1962662734) is an individual primary care provider in Waupun, Wisconsin, licensed in Wisconsin (3383-033) and active in the NPI registry since June 2008.
NPPES Registry Identity
NPI1962662734
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. KRISTINE A LYONCredential: APNP
Location Address904 W MAIN STWaupun, WI 53963-1201
Mailing Address1301 Hiawatha DrBeaver Dam, WI 53916-1223 · (920) 210-2926
Phone(920) 324-8700
Sole ProprietorNo
Enumeration DateJune 14, 2008
Last NPPES UpdateJuly 29, 2013
✔ NPI 1962662734 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in WI · 3383-033
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 3383-033 (WI)
904 W MAIN ST, Waupun, WI 53963
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pharmacy (Long Term Care Pharmacy)
904 W MAIN ST
WAUPUN, WI 53963
WAUPUN, WI 53963
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962662734, enumerated as an "individual" on June 14, 2008.
The provider is located at 904 W MAIN ST WAUPUN, WI 53963 and the phone number is (920) 324-8700.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
