MARISA S KREUZER APRN NPI 1205467800

NPI Information

NPI: 1205467800
Provider Name: MARISA S KREUZER, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
130 2ND ST
NEENAH, WI
ZIP 54956
Phone: (920) 725-0077
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Marisa S Kreuzer, APRN is an adult health nurse practitioner in Neenah, WI with 5 years of experience. Marisa S Kreuzer, APRN NPI is 1205467800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2019

The provider's business location address is:

130 2ND ST
NEENAH, WI
ZIP 54956-883
Phone: (920) 725-0077

The NPI 1205467800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2020 and was last updated on 11/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	11005995	FLORIDA	No
2	363LA2100X	Nurse Practitioner	Acute Care	10481	WISCONSIN	No
3	363LA2200X	Nurse Practitioner	Adult Health	APRN11005995	FLORIDA	No
4	363LA2200X	Nurse Practitioner	Adult Health	10481	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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