Wendy Marie Zitzloff
Nurse Practitioner - Critical Care Medicine
1350 107th Ave Nw
Coon Rapids
, Minnesota 55433-6333
Wendy Marie Zitzloff
Nurse Practitioner - Critical Care Medicine
1350 107th Ave Nw
Coon Rapids
, Minnesota 55433-6333
(320) 423-1081
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Wendy Marie Zitzloff
- 1350 107th Ave Nw
- Coon Rapids, MN
- Zip : 55433-6333
- Phone : (320) 423-1081
Second Address
- Wendy Marie Zitzloff
- 1350 107th Ave Nw
- Coon Rapids, MN
- Zip : 55433-6333
- Phone : (320) 423-1081
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1990193 | MN |
National Provider Identifier
| NPI | 1164092359 |
|---|---|
| Provider Name | Wendy Marie Zitzloff |
| First Address | Coon Rapids, MN 55433-6333 |
| Second Address | Coon Rapids, MN 55433-6333 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2021 |
| Last Update Date | 29/06/2021 |
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.