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NPI Code Detail

MEDICARE: KAYLA HOTZ FNP-C

MEDICARE: KAYLA HOTZ 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
1163W00000XRegistered Nurse246279-30WI
2363LP2300XPrimary Care Nurse Practitioner15198-33WI

General Provider Information

NPI Number : 1942060686
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA HOTZ FNP-C
Provider Business Mailing Address
First Line : 38 S MAIN ST
Second Line :
City : OCONOMOWOC
State : WI
Zip : 53066-7200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4802 E BROADWAY
Second Line :
City : MADISON
State : WI
Zip : 53716-4141
Country : US
Telephone Number : 608-889-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2024
Last Update Date : 04/05/2024

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Directions to “ KAYLA HOTZ FNP-C” Practice Location

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