Diane S Pautzke in Reedsburg - Nurse Practitioner
Diane S Pautzke - NPI 1548261563
Diane S Pautzke is a Nurse Practitioner in Reedsburg, Wisconsin. Diane S Pautzke practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Diane S Pautzke is 1548261563. The last update date is 2007-07-08.
Diane S Pautzke's current location address is 2000 N Dewey Ave, Reedsburg, Wisconsin. You can contact this provider via phone number 6085246487 and fax number 6085240842. The mailing address for Diane S Pautzke is 2000 N Dewey Ave, Reedsburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane S Pautzke |
|---|---|
| Address | 2000 N Dewey Ave, Reedsburg, Wisconsin |
| Phone Number | 6085246487 |
| Fax Number | 6085240842 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548261563 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2000 N Dewey Ave |
|---|---|
| City | Reedsburg |
| State | Wisconsin (WI) |
| Post Code | 539591049 |
| Phone Number | 6085246487 |
| Fax Number | 6085240842 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1360-033 |
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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 |
|---|---|---|---|
| 43884500 | WI | -- |
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What is the Diane S Pautzke's 1548261563?
The Diane S Pautzke's NPI (National Provider Identifier) Number is 1548261563. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Diane S Pautzke located?
The Diane S Pautzke is located at 2000 N Dewey Ave, Reedsburg, WI 539591049.
What is Diane S Pautzke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diane S Pautzke'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 Centers for Medicare & Medicaid Services assign the 1548261563 to Diane S Pautzke?
The Centers for Medicare & Medicaid Services assigned the 1548261563 to Diane S Pautzke on 2005-08-02.
As of what date were the details related to Diane S Pautzke most recently updated or revised?
The information pertaining to Diane S Pautzke, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.