Individual provider · Type 1 NPI

Kim T. Duczak, APNP

Nurse Practitioner · Waterford, WI

NPI number 1346355542 Active

Practice location

818 Forrest Ln
Waterford, WI 53185

Fax (262) 514-3865

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1544-033 (WI)
Nurse Practitioner 363L00000X80028-030 (WI)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1346355542

Kim T. Duczak, APNP's National Provider Identifier is 1346355542, issued on Aug 20, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waterford, WI. The record was last updated on Dec 1, 2021.