MEDICARE: JANE M ZIEMANSKI 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
1	363L00000X	Nurse Practitioner	100668	WI
2	363LF0000X	Family Nurse Practitioner	100668	WI

General Provider Information

NPI Number	:	1790873867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE M ZIEMANSKI NP

Provider Business Mailing Address
First Line	:	390 ORBITING DR
Second Line	:
City	:	MOSINEE
State	:	WI
Zip	:	54455-1763
Country	:	US
Telephone Number	:	175-693-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 ORBITING DR
Second Line	:
City	:	MOSINEE
State	:	WI
Zip	:	54455-1763
Country	:	US
Telephone Number	:	715-693-9100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	11/17/2022

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