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NPI Code Detail

MEDICARE: MEGAN KACZMAREK FNP-C

MEDICARE: MEGAN KACZMAREK FNP-C
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
1363LF0000XFamily Nurse Practitioner2023166210WI

General Provider Information

NPI Number : 1881464055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN KACZMAREK FNP-C
Provider Business Mailing Address
First Line : S50W34302 RIDGEWAY DR
Second Line :
City : DOUSMAN
State : WI
Zip : 53118-9212
Country : US
Telephone Number : 262-492-5768
Fax Number :
Provider Business Practice Location Address
First Line : N20W22961 WATERTOWN RD
Second Line :
City : WAUKESHA
State : WI
Zip : 53186-1308
Country : US
Telephone Number : 262-875-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2024
Last Update Date : 10/28/2025

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