David J Pencikowski in South Milwaukee - Nurse Practitioner

David J Pencikowski - NPI 1962579243

David J Pencikowski is a Nurse Practitioner in South Milwaukee, Wisconsin. David J Pencikowski practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for David J Pencikowski is 1962579243. The last update date is 2021-11-30.

David J Pencikowski's current location address is 3611 S Chicago Ave, South Milwaukee, Wisconsin. You can contact this provider via phone number 4147622450. The mailing address for David J Pencikowski is 3611 S Chicago Ave, South Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name David J Pencikowski
Address 3611 S Chicago Ave, South Milwaukee, Wisconsin
Phone Number 4147622450
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1962579243
Provider Enumeration Date 2006-11-29
Last Updated Date 2021-11-30

Provider Mailing Address Detail

Address 3611 S Chicago Ave
City South Milwaukee
State Wisconsin (WI)
Post Code 531723738
Phone Number 4147622450
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 3008-33
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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FAQs about David J Pencikowski

What is the unique 10-digit identification code issued to David J Pencikowski by the Centers for Medicare & Medicaid Services?

The David J Pencikowski has been assigned the NPI (National Provider Identifier) 1962579243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where David J Pencikowski is located?

The David J Pencikowski is situated at the following address: 3611 S Chicago Ave, South Milwaukee, WI, 531723738.

What is the David J Pencikowski's area of specialization and corresponding taxonomy classification?

The David J Pencikowski's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1962579243 assigned to David J Pencikowski?

The David J Pencikowski was issued its 1962579243 on 2006-11-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to David J Pencikowski most recently updated or revised?

The information pertaining to David J Pencikowski, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-30.

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