Individual
DEBORAH ZDARSTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(262) 785-2000
Mailing address
7222 ENFIELD AVE, GREENDALE, WI 53129-1732
(414) 559-3343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
140540
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
10350
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122076
—
WI
Enumeration date
08/07/2020
Last updated
04/26/2024
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