Greta M Kostac in Fond Du Lac - Nurse Practitioner
Greta M Kostac - NPI 1841307386
Greta M Kostac is a Nurse Practitioner in Fond Du Lac, Wisconsin. Greta M Kostac practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Greta M Kostac is 1841307386. The last update date is 2020-02-20.
Greta M Kostac's current location address is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209077000 and fax number 9209077012. The mailing address for Greta M Kostac is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Greta M Kostac |
|---|---|
| Address | 210 Wisconsin American Dr, Fond Du Lac, Wisconsin |
| Phone Number | 9209077000 |
| Fax Number | 9209077012 |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1841307386 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2020-02-20 |
Provider Mailing Address Detail
| Address | 210 Wisconsin American Dr |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 54935 |
| Phone Number | 9209077000 |
| Fax Number | 9209077012 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1274-033 |
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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 |
|---|---|---|---|
| 41262800 | WI | -- |
Post Comment/ Review Below
What is the Greta M Kostac's unique identification number?
The Greta M Kostac has been assigned the NPI (National Provider Identifier) Number 1841307386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Greta M Kostac?
The Greta M Kostac is situated at 210 Wisconsin American Dr, in the city of Fond Du Lac, state of WI, with the zip code 54935.
What is Greta M Kostac's specialized field of practice, and what is the corresponding taxonomy classification code?
The Greta M Kostac's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When was the Greta M Kostac's 1841307386 issued?
The Greta M Kostac's 1841307386 was issued on 2006-08-23.
As of what date were the Greta M Kostac's details last updated?
The information pertaining to the Greta M Kostac, including its address, specialty, and other details, was most recently updated on 2020-02-20.
NPI Number: 1720081763
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