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NPI Code Detail

MEDICARE: TERESA A MULZER APNP

MEDICARE: TERESA A MULZER APNP
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
1363LF0000XFamily Nurse Practitioner9071-33WI
2363L00000XNurse Practitioner9071WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861959371
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA A MULZER APNP
Provider Business Mailing Address
First Line : 1716 LAWRENCE DR STE 103
Second Line :
City : DE PERE
State : WI
Zip : 54115-9108
Country : US
Telephone Number : 920-632-6800
Fax Number : 920-632-6806
Provider Business Practice Location Address
First Line : 1716 LAWRENCE DR STE 103
Second Line :
City : DE PERE
State : WI
Zip : 54115-9108
Country : US
Telephone Number : 920-632-6800
Fax Number : 920-632-6806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2019
Last Update Date : 12/11/2025

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Directions to “ TERESA A MULZER APNP” Practice Location

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