Liberty J Zyduck
Nurse Practitioner - Neonatal (Critical Care)
202 S Park St
Madison
, Wisconsin 53715-1507
Liberty J Zyduck
Nurse Practitioner - Neonatal (Critical Care)
202 S Park St
Madison
, Wisconsin 53715-1507
(740) 438-2277
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Liberty J Zyduck
- 70 Murdock Rd
- Baltimore, MD
- Zip : 21212-1744
- Phone : (740) 438-2277
Second Address
- Liberty J Zyduck
- 202 S Park St
- Madison, WI
- Zip : 53715-1507
- Fax : (608) 417-6377
- Phone : (608) 417-6236
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 20906 | WI |
National Provider Identifier
| NPI | 1336371780 |
|---|---|
| Provider Name | Liberty J Zyduck |
| First Address | Baltimore, MD 21212-1744 |
| Second Address | Madison, WI 53715-1507 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2009 |
| Last Update Date | 04/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.