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NPI Code Detail

MEDICARE: XENAYSHMA ZHAYLEENE GNAS-PACHECO

MEDICARE: XENAYSHMA ZHAYLEENE GNAS-PACHECO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WR0006XRegistered Nurse First Assistant252151-30WI

General Provider Information

NPI Number : 1013865625
Entity Type Code : Individual
Provider Name (Legal Business Name) : XENAYSHMA ZHAYLEENE GNAS-PACHECO
Provider Business Mailing Address
First Line : 4374 S TENNESSEE AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-2232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 945 N 12TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1305
Country : US
Telephone Number : 414-000-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ XENAYSHMA ZHAYLEENE GNAS-PACHECO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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