Kimberly Marie Janecek, APNP | |
8733 Bridge St, Cedarburg, WI 53012-9355 | |
(262) 387-0071 | |
Not Available |
Full Name | Kimberly Marie Janecek |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 8733 Bridge St, Cedarburg, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265206213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 14720-33 (Wisconsin) | Primary |
Entity Name | Integrity Senior Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710486121 PECOS PAC ID: 4587928130 Enrollment ID: O20180507001002 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Marie Janecek, APNP 8733 Bridge St, Cedarburg, WI 53012-9355 Ph: (262) 229-1194 | Kimberly Marie Janecek, APNP 8733 Bridge St, Cedarburg, WI 53012-9355 Ph: (262) 387-0071 |
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