Provider Demographics
NPI:1972108785
Name:WALTER, KAY MARIE (APNP, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:MARIE
Last Name:WALTER
Suffix:
Gender:F
Credentials:APNP, AGPCNP-BC
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:MARIE
Other - Last Name:SCHARTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53029-0474
Mailing Address - Country:US
Mailing Address - Phone:262-875-5070
Mailing Address - Fax:
Practice Address - Street 1:2428 N GRANDVIEW BLVD STE 102
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-6906
Practice Address - Country:US
Practice Address - Phone:262-875-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10601-33207R00000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine