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General NPI Number Information
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NPI Number | 1548741135
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Entity Type | Individual
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Provider Name | EDEN KREJCI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 03/01/2026
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Provider Practice Location Address
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Address Line | 125 S 84TH ST STE 400
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City | MILWAUKEE
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State | WI
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Zip | 53214-1469
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Country | US
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Telephone | 573-270-9017
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 ADELE CT
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City | GRAFTON
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State | WI
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Zip | 53024-2824
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Country | US
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Telephone | 573-270-9017
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0033051
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2022045055
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71013543A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.028203
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 8633-33
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License Number State | WI
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