Healthcare Provider Details

I. General information

NPI: 1942328992
Provider Name (Legal Business Name): DEBRA KAY ZUHSE-GREEN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 10/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 PARTRIDGE RD
DE PERE WI
54115-9652
US

IV. Provider business mailing address

1123 PARTRIDGE RD
DE PERE WI
54115-9652
US

V. Phone/Fax

Practice location:
  • Phone: 920-532-5059
  • Fax:
Mailing address:
  • Phone: 920-532-5059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number100674-030
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number100674-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: