Mark R. Dvorak in Lake Geneva - Nurse Practitioner
Mark R. Dvorak - NPI 1699750661
Mark R. Dvorak is a Nurse Practitioner in Lake Geneva, Wisconsin. Mark R. Dvorak practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mark R. Dvorak is 1699750661. The last update date is 2016-06-13.
Mark R. Dvorak's current location address is N2950 State Road 67, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622454990 and fax number 2622452248. The mailing address for Mark R. Dvorak is N2950 State Road 67, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R. Dvorak |
|---|---|
| Address | N2950 State Road 67, Lake Geneva, Wisconsin |
| Phone Number | 2622454990 |
| Fax Number | 2622452248 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1699750661 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2016-06-13 |
Provider Mailing Address Detail
| Address | N2950 State Road 67 |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531472655 |
| Phone Number | 2622454990 |
| Fax Number | 2622452248 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1149-33 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1699750661 | WI | -- | |
| 43372600 | WI | -- | |
| DVORAMAR | WI | MERCYCARE INSURANCE | |
| 430067408 | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Mark R. Dvorak by the Centers for Medicare & Medicaid Services (CMS)?
The Mark R. Dvorak has been assigned the NPI (National Provider Identifier) 1699750661. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mark R. Dvorak is physically located?
The Mark R. Dvorak is situated at the following address: N2950 State Road 67, Lake Geneva, WI 531472655.
What is Mark R. Dvorak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark R. Dvorak is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699750661 to Mark R. Dvorak?
The Centers for Medicare & Medicaid Services assigned the 1699750661 to Mark R. Dvorak on 2005-12-13.
As of what date were the details pertaining to Mark R. Dvorak last refreshed?
The information related to the Mark R. Dvorak, including its address, specialty, and other relevant details, was last updated on 2016-06-13.