Healthcare Provider Details

I. General information

NPI: 1841252376
Provider Name (Legal Business Name): JANET A BUZZELL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 SWEET GRASS DR
SUN PRAIRIE WI
53590-3468
US

IV. Provider business mailing address

920 PROSPECT AVE
BEAVER DAM WI
53916-2447
US

V. Phone/Fax

Practice location:
  • Phone: 608-825-4474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number84073-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: