| Doctor Name: | KATHY ANN BRATTAIN |
| NPI Number: | 1033509963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 6025-33 |
| Business Practice Address: | 3200 Shore Dr Suite 4 Marinette, WI - 541434292 |
| Business Phone Number: | 7157328610 |
| Business Fax Number: | 7157328650 |
| Mailing Address: | 3120 Riverside Ave, Gate B Building 1 MARINETTE |
| State: | WI |
| Postal Code: | 541436007 |
| Phone Number: | 7157322075 |
| Fax Number: | 7157322092 |
| NPI Enumeration Date: | 01/30/2015 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6025-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |