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Individual
MRS. ZARAH ROSE MACCOUX
Active
Individual
MRS. ZARAH ROSE MACCOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175043-30
WI
363L00000X
Nurse Practitioner
5485-33
WI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
5485-33
WI
367A00000X
Advanced Practice Midwife
Primary
148881-32
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002690
MEDICARE PTAN
WI
05
—
100035015
—
WI
Enumeration date
08/12/2013
Last updated
07/03/2024
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