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MARCIE ANN JANZ APNP NPI 1164415634


NPI Information

NPI: 1164415634
Provider Name: MARCIE ANN JANZ, APNP
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
481 E DIVISION ST
SUITE 100
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-8120
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Marcie Ann Janz, APNP is a family medicine in Fond Du Lac, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Marcie Ann Janz, APNP NPI is 1164415634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

481 E DIVISION ST
SUITE 100
FOND DU LAC, WI
ZIP 54935-748
Phone: (920) 929-8120
Fax: (920) 929-8126

The enumeration date for this NPI number is 8/30/2005 and was last updated on 7/8/2007.


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
1207Q00000XFamily Medicine28WISCONSINYes
2207QG0300XFamily MedicineGeriatric Medicine28WISCONSINX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S16404MEDICARE UPIN
282896MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
343817600MEDICAIDWISCONSIN

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: 5/5/2024
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