DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KENSINGTON NAZE STUDENT

MEDICARE: KENSINGTON NAZE STUDENT
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
12255A2300XAthletic TrainerWI
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245857275
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENSINGTON NAZE STUDENT
Provider Business Mailing Address
First Line : 1676 N VAN BUREN ST APT 4
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2079
Country : US
Telephone Number : 920-246-5410
Fax Number :
Provider Business Practice Location Address
First Line : 3409 N DOWNER AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-2934
Country : US
Telephone Number : 414-229-3914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2020
Last Update Date : 07/22/2020

Similar Medicare Providers

1033667928 — KATIE WALSH MAED, LAT, ATC
Practice Location Address:
3409 N DOWNER AVE
MILWAUKEE, WI
53211-2934
Practice Phone: 847-682-8599
Practice Fax:
1851850838 — AUSTIN FITZPATRICK ATC
Practice Location Address:
3409 N DOWNER AVE
MILWAUKEE, WI
53211-2934
Practice Phone: 608-304-4024
Practice Fax:
1518597863 — JAMES JOSEPH ANDRESEN
Practice Location Address:
3409 N DOWNER AVE
MILWAUKEE, WI
53211-2934
Practice Phone: 414-731-7769
Practice Fax:
1194350009 — JORDAN ANTHONY
Practice Location Address:
3409 N DOWNER AVE
MILWAUKEE, WI
53211-2934
Practice Phone: 414-229-3914
Practice Fax:
1932726510 — SHAYLYN FUERSTENAU
Practice Location Address:
3409 N DOWNER AVE
MILWAUKEE, WI
53211-2934
Practice Phone: 414-229-3914
Practice Fax:
1053938548 — MARI C MATHERS
Practice Location Address:
3409 N DOWNER AVE
MILWAUKEE, WI
53211-2934
Practice Phone: 414-229-3914
Practice Fax:

Directions to “ KENSINGTON NAZE STUDENT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.