Healthcare Provider Details

I. General information

NPI: 1952826919
Provider Name (Legal Business Name): ERIN ZEPEZAUER APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN VOSKUIL

II. Dates (important events)

Enumeration Date: 08/10/2017
Last Update Date: 08/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVENUE
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-7400
  • Fax:
Mailing address:
  • Phone: 414-805-7410
  • Fax: 414-805-7499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7780-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: