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NPI Code Detail

MEDICARE: MRS. PATRICIA A ZENTNER RN

MEDICARE:  MRS. PATRICIA A ZENTNER  RN
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 NurseWI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619935319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA A ZENTNER RN
Provider Business Mailing Address
First Line : 170 BROAD ST S
Second Line :
City : PRESCOTT
State : WI
Zip : 54021-1643
Country : US
Telephone Number : 715-262-5845
Fax Number :
Provider Business Practice Location Address
First Line : 170 BROAD ST S
Second Line :
City : PRESCOTT
State : WI
Zip : 54021-1643
Country : US
Telephone Number : 715-262-5845
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. PATRICIA A ZENTNER RN” Practice Location

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