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NPI Code Detail

MEDICARE: MRS. SUZETTE LINDA KATCHKO APNP

MEDICARE: MRS. SUZETTE LINDA KATCHKO APNP
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
1363L00000XNurse Practitioner3553WI

General Provider Information

NPI Number : 1073773677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZETTE LINDA KATCHKO APNP
Provider Business Mailing Address
First Line : 3144 VANZILE RD
Second Line :
City : CRANDON
State : WI
Zip : 54520-8149
Country : US
Telephone Number : 715-478-5180
Fax Number : 715-478-5904
Provider Business Practice Location Address
First Line : 3144 VANZILE RD
Second Line :
City : CRANDON
State : WI
Zip : 54520-8149
Country : US
Telephone Number : 715-478-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2008
Last Update Date : 10/03/2022

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Directions to “ MRS. SUZETTE LINDA KATCHKO APNP” Practice Location

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