Maczka, Nancy Ruth

Maczka, Nancy Ruth is an individual health care provider with primary practice located at 1244 Wisconsin Ave Suite 300, Racine WI 53403-1987. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Maczka, Nancy Ruth can be contacted via phone (262) 687-2219.

Contact Information

Primary practice address
1244 Wisconsin Ave Suite 300 Racine WI 53403-1987
Phone: (262) 687-2219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2081-033 Wisconsin

Profile Details

NPI number 1215139860
LBN Legal business name Maczka, Nancy Ruth
Credentials ADULT PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Feb 7th, 2011 - about 15 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 1215139860 NPPES
Wisconsin MEDICAID 36038300

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