Ms Kaitlyn N Pufahl, CPNP in Beaver Dam, WI - Clinical Nurse Specialist

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.

Contact Information

	Ms Kaitlyn N Pufahl, CPNP
	109 Warren St Ste 4, Beaver Dam, WI 53916-3082
	(920) 885-3305
	(920) 885-5506

Provider's Profile

Full Name	Ms Kaitlyn N Pufahl
Gender	Female
Speciality	Clinical Nurse Specialist - Pediatrics
Location	109 Warren St Ste 4, Beaver Dam, Wisconsin
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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Ms Kaitlyn N Pufahl, CPNP - Clinical Nurse Specialist in Beaver Dam, WI