Carol M Retzer in Brown Deer - Licensed Practical Nurse

Carol M Retzer - NPI 1427247709

Carol M Retzer is a Licensed Practical Nurse in Brown Deer, Wisconsin. Carol M Retzer practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Carol M Retzer is 1427247709. The last update date is 2007-10-23.

Carol M Retzer's current location address is 4555 W Schroeder Dr Ste 185, Brown Deer, Wisconsin. You can contact this provider via phone number 4145860222 and fax number 4145860236. The mailing address for Carol M Retzer is 4555 W Schroeder Dr Ste 185, Brown Deer, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol M Retzer
Address 4555 W Schroeder Dr Ste 185, Brown Deer, Wisconsin
Phone Number 4145860222
Fax Number 4145860236
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1427247709
Provider Enumeration Date 2007-10-23
Last Updated Date 2007-10-23

Provider Mailing Address Detail

Address 4555 W Schroeder Dr Ste 185
City Brown Deer
State Wisconsin (WI)
Post Code 532231494
Phone Number 4145860222
Fax Number 4145860236

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 27752-031
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42017500 WI --

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FAQs about Carol M Retzer

What is the unique identifier code issued to Carol M Retzer by the Centers for Medicare & Medicaid Services (CMS)?

The Carol M Retzer has been assigned the NPI (National Provider Identifier) 1427247709. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Carol M Retzer is physically located?

The Carol M Retzer is physically situated at the following address: 4555 W Schroeder Dr Ste 185, Brown Deer, WI, 532231494.

What is Carol M Retzer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carol M Retzer's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.

On what date did the Carol M Retzer receive the assignment of its 1427247709 from the Centers for Medicare & Medicaid Services?

The Carol M Retzer was issued its 1427247709 by the Centers for Medicare & Medicaid Services on 2007-10-23.

As of what date were the Carol M Retzer's details last updated?

The information pertaining to the Carol M Retzer, including its address, specialty, and other details, was most recently updated on 2007-10-23.

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