Terry A Kollenbroich in Kenosha - Nurse Practitioner
Terry A Kollenbroich - NPI 1235180076
Terry A Kollenbroich is a Nurse Practitioner in Kenosha, Wisconsin. Terry A Kollenbroich practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Terry A Kollenbroich is 1235180076. The last update date is 2021-12-02.
Terry A Kollenbroich's current location address is 10400 75th St, Kenosha, Wisconsin. You can contact this provider via phone number 2629486710. The mailing address for Terry A Kollenbroich is 10400 75th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry A Kollenbroich |
|---|---|
| Address | 10400 75th St, Kenosha, Wisconsin |
| Phone Number | 2629486710 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1235180076 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2021-12-02 |
Provider Mailing Address Detail
| Address | 10400 75th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531427884 |
| Phone Number | 2629486710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2373 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Terry A Kollenbroich by the Centers for Medicare & Medicaid Services?
The Terry A Kollenbroich has been issued the NPI (National Provider Identifier) 1235180076 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Terry A Kollenbroich is located?
The Terry A Kollenbroich is situated at the following address: 10400 75Th St, Kenosha, WI, 531427884.
What is Terry A Kollenbroich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Terry A Kollenbroich's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Terry A Kollenbroich receive its 1235180076 assignment from the Centers for Medicare & Medicaid Services?
The Terry A Kollenbroich was assigned its 1235180076 by the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date were the Terry A Kollenbroich's details last updated?
The information pertaining to the Terry A Kollenbroich, including its address, specialty, and other details, was most recently updated on 2021-12-02.