Basic Information
| Provider Information | |||||||||
| NPI: | 1467426486 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SZPOT | ||||||||
| FirstName: | KATHLEEN | ||||||||
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| Credential: | APNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | ZABLOCKI VA MEDICAL CTR | ||||||||
| Address2: | 5000 W. NATIONAL AVE | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532950001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4143842000 | ||||||||
| FaxNumber: | 2629285835 | ||||||||
| Practice Location | |||||||||
| Address1: | ZABLOCKI VA MEDICAL CTR | ||||||||
| Address2: | 5000 W. NATIONAL AVE | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532950001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4143842000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2006 | ||||||||
| LastUpdateDate: | 04/07/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 2000 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.