Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 244492 | MA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 6969 | WI |
NPI | 1013120252 |
---|---|
Provider Name | Karen M Hugill |
First Address | Stevens Point, WI 54481-3114 |
Second Address | Stevens Point, WI 54481-3114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 17/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
136452 | RN LICENSE (01) | WI |