ELIZABETH A JARECKI


Address: 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612
Phone: 4145303460

ELIZABETH A JARECKI (NPI# 1053886465) 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) 1053886465
Entity Type Individual
Full Name ELIZABETH A JARECKI
Other Name ELIZABETH A KARA
Credential APNP
Practice Address 3115 Lilly Rd Unit 209
Brookfield
WI 53005-7612
Practice Telephone 4145303460
Mailing Telephone 4145303460
Enumeration Date 2018-10-11
Last Update Date 2018-10-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
8754 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3115 LILLY RD UNIT 209
City BROOKFIELD
State WI
Zip Code 53005-7612

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689115818 Molly Marie Ullenberg Nurse Practitioner 16655 W Bluemound Rd, Brookfield, WI 53005-5957 2017-03-20

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1619374816 Melissa Kaye Miller Nurse Practitioner 710 W Starin Rd, Whitewater, WI 53190-1121 2014-12-03
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Competitor

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City BROOKFIELD
Zip Code 53005

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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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