Provider Demographics
NPI:1376607069
Name:QUARZENSKI, KATHLEEN JEANNE (APRN BC FNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JEANNE
Last Name:QUARZENSKI
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Gender:F
Credentials:APRN BC FNP
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Mailing Address - Street 1:111 17TH AVE E
Mailing Address - Street 2:STE 101
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-3734
Mailing Address - Country:US
Mailing Address - Phone:320-762-1144
Mailing Address - Fax:320-762-1935
Practice Address - Street 1:2800 1ST STREET SOUTH
Practice Address - Street 2:STE 220
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3556
Practice Address - Country:US
Practice Address - Phone:320-214-7355
Practice Address - Fax:320-214-7356
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
WI137840163W00000X
MI4704180891163W00000X
MO151802363L00000X
MNR176991-3363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNMQ1554383OtherDEA
MN200003128Medicare PIN