Kim T Duczak, APNP
Nurse Practitioner in Waterford, WI. Individual provider (NPI-1).
NPI number1346355542
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1346355542
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kim T Duczak
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2006
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1544-033 | WI | Yes |
| 363L00000X | Nurse Practitioner | 80028-030 | WI |
Other names
- Kim Tracy Nauta (Former Name)
Practice location
818 Forrest LnWaterford, WI 53185
Phone 262-514-3700 · Fax 262-514-3865
Mailing address
3301 W Forest Home AveMilwaukee, WI 53215-2843
Phone 262-514-3700 · Fax 262-514-3865
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All 15 Nurse Practitioner providers in Waterford · All 195 providers in Waterford
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