Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 7314-33 | WI |
NPI | 1003365909 |
---|---|
Provider Name | Lindsey Kay Rozewicz |
First Address | Sheboygan, WI 53083-4932 |
Second Address | Sheboygan, WI 53083-4932 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2016 |
Last Update Date | 03/12/2021 |