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NPI Code Detail

MEDICARE: SUSAN VIRGINIA ZDENEK NP

MEDICARE: SUSAN VIRGINIA ZDENEK 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
1364SW0102XWomen's Health Clinical Nurse Specialist50625CO

General Provider Information

NPI Number : 1568462737
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN VIRGINIA ZDENEK NP
Provider Business Mailing Address
First Line : 1525 BLUE SPRUCE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-2004
Country : US
Telephone Number : 970-498-6742
Fax Number :
Provider Business Practice Location Address
First Line : 1525 BLUE SPRUCE DR
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-2004
Country : US
Telephone Number : 970-498-6742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 11/05/2010

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Directions to “ SUSAN VIRGINIA ZDENEK NP” Practice Location

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