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NPI Code Detail

MEDICARE: MEREDITH GRACE LOEWENSTEIN CRNP

MEDICARE:   MEREDITH GRACE LOEWENSTEIN  CRNP
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 NurseT20180031MD
2363LF0000XFamily Nurse PractitionerR231732MD
3363L00000XNurse Practitioner9689WI

General Provider Information

NPI Number : 1962910349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH GRACE LOEWENSTEIN CRNP
Provider Business Mailing Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number : 608-256-1901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2018
Last Update Date : 02/14/2026

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