Provider Demographics
NPI:1780457499
Name:ARENZ, JOZELLE ELIZBETH (PA-S)
Entity type:Individual
Prefix:
First Name:JOZELLE
Middle Name:ELIZBETH
Last Name:ARENZ
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WASHBURN ST
Mailing Address - Street 2:
Mailing Address - City:CAMP DOUGLAS
Mailing Address - State:WI
Mailing Address - Zip Code:54618-5023
Mailing Address - Country:US
Mailing Address - Phone:630-888-8665
Mailing Address - Fax:
Practice Address - Street 1:104 WASHBURN ST
Practice Address - Street 2:
Practice Address - City:CAMP DOUGLAS
Practice Address - State:WI
Practice Address - Zip Code:54618-5023
Practice Address - Country:US
Practice Address - Phone:630-888-8665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program