Provider Demographics
NPI:1326534025
Name:TZINOGLOU, SILVIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:
Last Name:TZINOGLOU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:
Other - Last Name:WAGNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:653 BROOKS PL APT 2
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-8026
Mailing Address - Country:US
Mailing Address - Phone:715-297-8970
Mailing Address - Fax:
Practice Address - Street 1:653 BROOKS PL APT 2
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-8026
Practice Address - Country:US
Practice Address - Phone:715-297-8970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI119082163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse