Provider Demographics
NPI:1902981673
Name:ONSRUD, CATHERINE L (FNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:ONSRUD
Suffix:
Gender:F
Credentials:FNP
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Other - Last Name:
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Mailing Address - Street 1:N17W24100 RIVERWOOD DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1177
Mailing Address - Country:US
Mailing Address - Phone:262-928-4100
Mailing Address - Fax:262-928-5835
Practice Address - Street 1:109 AIR PARK DR
Practice Address - Street 2:PROHEALTH CARE MEDICAL CENTERS WATERTOWN
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53094-7400
Practice Address - Country:US
Practice Address - Phone:262-928-5100
Practice Address - Fax:262-928-5111
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI2986-033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39846100Medicaid
WI39846100Medicaid