Kim Marie Walters-cross, NURSE - Licensed Practical Nurse in Antigo, WI

Kim Marie Walters-cross, NURSE is a Licensed Practical Nurse based in Antigo, Wisconsin. Kim Marie Walters-cross is licensed to practice in Wisconsin (license number 307904-031) and her current practice location is 2215 Progress Blvd, Antigo, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (715) 623-3797.

NPI number for Kim Marie Walters-cross is 1255662078 and her current mailing address is W6092 Woods Flowage Rd, Bryant, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255662078.

Contact Information

Kim Marie Walters-cross, NURSE
2215 Progress Blvd,
Antigo, WI 54409-2480
(715) 623-3797
(715) 627-2738



Provider's Profile

Full NameKim Marie Walters-cross
GenderFemale
SpecialityLicensed Practical Nurse
Location2215 Progress Blvd, Antigo, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255662078
  • Provider Enumeration Date: 01/18/2010
  • Last Update Date: 01/18/2010

Medical Identifiers

Medical identifiers for Kim Marie Walters-cross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255662078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 307904-031 (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. Kim Marie Walters-cross 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 AddressPractice Location Address
Kim Marie Walters-cross, NURSE
W6092 Woods Flowage Rd,
Bryant, WI 54418-9591

Ph: (715) 623-3506
Kim Marie Walters-cross, NURSE
2215 Progress Blvd,
Antigo, WI 54409-2480

Ph: (715) 623-3797

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› Verified 9 days ago


Licensed Practical Nurse Nurses in Antigo, WI

Anastacia Bostwick, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1570 Neva Rd, Antigo, WI 54409
Phone: 715-610-5549    
Leeann Lynn Flood, LPN/RCS
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 209 E 5th Ave, Antigo, WI 54409
Phone: 715-623-6846    Fax: 715-623-6846

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