MARY ITZENHEISER


Address: 252 Mchenry St, Burlington, WI 53105-1828
Phone: 2627676487

MARY ITZENHEISER (NPI# 1700321726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700321726
Entity Type Individual
Full Name MARY ITZENHEISER
Practice Address 252 Mchenry St
Burlington
WI 53105-1828
Practice Telephone 2627676487
Enumeration Date 2016-12-29
Last Update Date 2016-12-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
91388-30 WI Nursing Service Providers

Office Location

Street Address 252 MCHENRY ST
City BURLINGTON
State WI
Zip Code 53105-1828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104822493 Melinee D Burnett Physician Assistant 252 Mchenry St, Burlington, WI 53105 2005-06-22
1053844142 Kemal Kucuk Internal Medicine 252 Mchenry St, Burlington, WI 53105-1828 2017-04-06
1366983686 Nguyen Q Ha Internal Medicine 252 Mchenry St, Burlington, WI 53105-1828 2017-03-20
1477094993 John P Schmidt Nurse Practitioner 252 Mchenry St, Burlington, WI 53105-1828 2017-03-16
1134572530 Lynn S Raml Community Health Worker 252 Mchenry St, Burlington, WI 53105-1828 2016-07-20
1760837793 Brooke Beck Nurse Practitioner 252 Mchenry St, Burlington, WI 53105-1828 2016-04-27
1881058451 Raihaan R Khattak Internal Medicine 252 Mchenry St, Burlington, WI 53105-1828 2016-04-11
1255700282 Carol Mary Neumann Dietitian, Registered 252 Mchenry St, Burlington, WI 53105-1828 2015-09-21
1245609478 Amy Lee Dietitian, Registered 252 Mchenry St, Burlington, WI 53105-1828 2015-09-17
1275909202 Kristin A Stanley Nurse Anesthetist, Certified Registered 252 Mchenry St, Burlington, WI 53105-1828 2015-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574288 Wisconsin Pain Management Specialists, LLC Pain Medicine 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 2018-07-09
1952845679 Jennifer Vozel Registered Nurse 40036 Bloomfield Rd, Burlington, WI 53105 2016-12-14
1356884613 Labadie Family Dentistry, S.c. Clinic/Center 5019 Mormon Rd., Burlington, WI 53105 2016-11-18
1043654288 Maureen Ann Mcnulty Acupuncturist 148 East State Street, Suite A, Burlington, WI 53105 2013-04-18
1003166349 Jessica Robinson Licensed Practical Nurse 7656 Highland Ave, Burlington, WI 53105 2012-09-13
1063677334 Douglas Armin Wild Sr. Dentist 2545 Partridge Wds. Ct., Burlington, WI 53105 2008-07-25
1346408945 William Henry Basil Dentist 222 Adams St, Burlington, WI 53105 2008-05-30
1912108689 Debra Jean Studey Leffelman Midwife, Lay 5617 Spring Valley Rd., Burlington, WI 53105 2007-05-30
1215142955 Michelle Marie Mehring Licensed Practical Nurse 541 Kearney Rd, Burlington, WI 53105 2007-05-14
1003982802 Alan Dean Meike Chiropractor 196 W Chestnut Street, Burlington, WI 53105 2006-11-27
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366918112 Sarah Michael Lake Registered Nurse 111 Colchester Ave, Burlington, VT 05401-1473 2018-10-19
1437423357 Karen Sue Nielsen Registered Nurse 801 N 4th St, Burlington, KS 66839-2602 2012-02-24
1871894618 Rhonda A Lapidow Registered Nurse 111 Colchester Ave, Burlington, VT 05401-1473 2010-11-10
1124195268 Rebecca O Beaudoin Registered Nurse 111 Colchester Ave, Csc, Burlington, VT 05401-1473 2006-11-30
1326115460 Lisa Michele Bolduc-bissell Registered Nurse 111 Colchester Ave, Csc, Burlington, VT 05401-1473 2006-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376016196 Georgia Ann Horner Registered Nurse 3805a Spring St Ste 311, Mount Pleasant, WI 53405-1600 2019-01-03
1962970350 Elizabeth Mowbray Registered Nurse 36500 Aurora Dr Ste 330, Summit, WI 53066-4899 2018-11-05
1972098697 Courtney Fagan Registered Nurse 3805 Spring Street, Bldg A - Suite 311, Racine, WI 53405-1600 2018-06-25
1659882942 Linda K Davis Registered Nurse 2323 N Lake Dr Rm W2039, Milwaukee, WI 53211-4508 2017-10-13
1124539556 Roxanne Weber Registered Nurse 146 E. Geneva Square, Lake Geneva, WI 53147 2017-10-12
1255876462 Rebecca Delain Registered Nurse 616 Aurora Dr, Green Bay, WI 54302-4871 2016-12-23
1558688713 Patricia Jean Celek Registered Nurse 8901 W. Lincoln Avenue, Awamc, West Allis, WI 53227 2010-04-28
1952525529 Sheryl H Ashby Registered Nurse 125 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 2007-04-12
1700928850 Leann Tilden Registered Nurse 1818 N. Meade St., Appleton Medical Center, Appleton, WI 54911 2007-02-13
1467078196 Lynn J Estacio Registered Nurse 9000 W Sura Ln, Greenfield, WI 53228-3477 2020-06-18
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Competitor

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City BURLINGTON
Zip Code 53105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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