Individual provider · NPI-1
Stephanie Lynn Zadra
Respiratory Therapist, Registered, Critical Care · Madison, WI
NPI number1336845973
StatusActive
Last updated in NPPESFeb 6, 2023
Details
- NPI
- 1336845973
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Lynn Zadra
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2023
- Certification date
- Feb 6, 2023
- Last updated
- Feb 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2279C0205X | Respiratory Therapist, Registered, Critical Care | 4841-28 | WI | Yes |
| 227900000X | Respiratory Therapist, Registered | – | – | |
| 2279E0002X | Respiratory Therapist, Registered, Emergency Care | – | – | |
| 2279G1100X | Respiratory Therapist, Registered, General Care | – | – |
Practice location
2500 Overlook TerMadison, WI 53705-2254
Phone 608-256-1901
Mailing address
2500 Overlook TerMadison, WI 53705-2254
Phone 608-256-1901
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