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NPI Code Detail

MEDICARE: MS. RENEE SANNES PUZA RN

MEDICARE: MS. RENEE SANNES PUZA RN
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
1163W00000XRegistered Nurse78039-030WI
2163WH0200XHome Health Registered Nurse78039-030WI

General Provider Information

NPI Number : 1013975747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RENEE SANNES PUZA RN
Provider Business Mailing Address
First Line : S106W30868 SANDY BEACH RD
Second Line :
City : MUKWONAGO
State : WI
Zip : 53149-9122
Country : US
Telephone Number : 262-227-6323
Fax Number :
Provider Business Practice Location Address
First Line : S106W30868 SANDY BEACH RD
Second Line :
City : MUKWONAGO
State : WI
Zip : 53149-9122
Country : US
Telephone Number : 262-227-6323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 05/13/2008

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