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NPI Code Detail

MEDICARE: LENA ZISKIE NP

MEDICARE: LENA ZISKIE 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
1163W00000XRegistered Nurse4704295889MI
2363LF0000XFamily Nurse Practitioner4704295889MI

General Provider Information

NPI Number : 1174287114
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENA ZISKIE NP
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number : 313-874-4806
Fax Number :
Provider Business Practice Location Address
First Line : 205 N EAST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number : 517-205-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2021
Last Update Date : 01/23/2026

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