Provider Demographics
NPI:1376085035
Name:ZOROMSKI, MARGO (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:MARGO
Middle Name:
Last Name:ZOROMSKI
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 JAECKS RD
Mailing Address - Street 2:
Mailing Address - City:TOMAHAWK
Mailing Address - State:WI
Mailing Address - Zip Code:54487-8900
Mailing Address - Country:US
Mailing Address - Phone:715-966-3859
Mailing Address - Fax:
Practice Address - Street 1:1412 JAECKS RD
Practice Address - Street 2:
Practice Address - City:TOMAHAWK
Practice Address - State:WI
Practice Address - Zip Code:54487-8900
Practice Address - Country:US
Practice Address - Phone:715-966-3859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-12
Last Update Date:2016-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI196933163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse