MEDICARE: RACHEL ANTOINETTE FRANZEN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	14268-33	WI

General Provider Information

NPI Number	:	1033997119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ANTOINETTE FRANZEN NP

Provider Business Mailing Address
First Line	:	W3421 COUNTY ROAD C
Second Line	:
City	:	SHEBOYGAN FALLS
State	:	WI
Zip	:	53085-2412
Country	:	US
Telephone Number	:	845-649-8268
Fax Number	:

Provider Business Practice Location Address
First Line	:	10701 W RESEARCH DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3440
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	09/19/2023

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