Kazda, Joan

Kazda, Joan is an individual health care provider with primary practice located at 9601 Townline Rd , Minocqua WI 54548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kazda, Joan can be contacted via phone (715) 358-1466.

Contact Information

Primary practice address
9601 Townline Rd Minocqua WI 54548
Phone: (715) 358-1466
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2328 Wisconsin

Profile Details

NPI number 1578667655
LBN Legal business name Kazda, Joan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578667655 NPPES
Wisconsin MEDICAID 41179300

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