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NPI Code Detail

MEDICARE: DR. LINDA K. MENZEL A.P.N.P, PHD

MEDICARE: DR. LINDA K. MENZEL A.P.N.P, PHD
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 Practitioner2254WI

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 : 1922095074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA K. MENZEL A.P.N.P, PHD
Provider Business Mailing Address
First Line : 1906 EDGEWATER DR
Second Line :
City : GRAFTON
State : WI
Zip : 53024-9693
Country : US
Telephone Number : 262-483-8833
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E BRADY ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-1615
Country : US
Telephone Number : 262-483-8833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 06/18/2013

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