Healthcare Provider Details

I. General information

NPI: 1295944635
Provider Name (Legal Business Name): UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 E HARTFORD AVE
MILWAUKEE WI
53211-3060
US

IV. Provider business mailing address

PO BOX 413
MILWAUKEE WI
53201-0413
US

V. Phone/Fax

Practice location:
  • Phone: 414-229-4432
  • Fax: 414-229-5541
Mailing address:
  • Phone: 414-229-4432
  • Fax: 414-229-5541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. BEV ZABLER
Title or Position: DIRECTOR, UWM IUHP
Credential: PHD, RN, FNP
Phone: 414-229-4432