Individual
TIFFANY ANNE ZAMZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, APNP
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-4900
(262) 329-4901
Mailing address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-4900
(262) 329-4901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5255-033
WI
363LN0000X
Neonatal Nurse Practitioner
5255-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588906150
—
WI
Enumeration date
03/21/2013
Last updated
11/29/2021
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