Healthcare Provider Details

I. General information

NPI: 1255219176
Provider Name (Legal Business Name): PATRICIA ELISE ZURFLUH
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 S 10TH ST
MILWAUKEE WI
53221-2412
US

IV. Provider business mailing address

4800 S 10TH ST
MILWAUKEE WI
53221-2412
US

V. Phone/Fax

Practice location:
  • Phone: 414-744-5370
  • Fax: 414-744-5370
Mailing address:
  • Phone: 414-744-5370
  • Fax: 414-744-5370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number33313131
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: