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NPI Code Detail

MEDICARE: AMY J KRZOSKA RN BSN

MEDICARE: AMY J KRZOSKA RN BSN
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 Nurse1179595KY

General Provider Information

NPI Number : 1225968415
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY J KRZOSKA RN BSN
Provider Business Mailing Address
First Line : 255 E PACES FERRY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30305-2233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 255 E PACES FERRY RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30305-2233
Country : US
Telephone Number : 920-810-1021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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