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General NPI Number Information
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NPI Number | 1235385097
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Entity Type | Individual
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Provider Name | KRISTINE M. ZINKGRAF NP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE FL CENTER3 PROHEALTH CARE MEDICAL ASSOCAITES INC.
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-3500
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Fax | 262-544-0382
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Provider Business Mailing Address
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Address Line | N17W24100 RIVERWOOD DR STE 250 PROHEALTH CARE MEDICAL ASSOCIATES INC.
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City | WAUKESHA
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State | WI
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Zip | 53188-1177
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Country | US
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Telephone | 262-928-4100
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Fax | 262-928-5835
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 662
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 662
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License Number State | WI
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