Mrs Kizzie Marie Durgom, RN in Racine, WI - Registered Nurse

Mrs Kizzie Marie Durgom, RN is a Registered Nurse based in Racine, Wisconsin. Mrs Kizzie Marie Durgom is licensed to practice in Wisconsin (license number 16629730) and her current practice location is 2000 Domanik Dr, Racine, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 633-4800.

NPI number for Mrs Kizzie Marie Durgom is 1104175694 and her current mailing address is 2000 Domanik Dr, Racine, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104175694.

Contact Information

	Mrs Kizzie Marie Durgom, RN
	2000 Domanik Dr, Racine, WI 53404-2910
	(262) 633-4800
	Not Available

Provider's Profile

Full Name	Mrs Kizzie Marie Durgom
Gender	Female
Speciality	Registered Nurse
Location	2000 Domanik Dr, Racine, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1104175694
Provider Enumeration Date: 08/30/2012
Last Update Date: 08/30/2012

Medical Identifiers

Medical identifiers for Mrs Kizzie Marie Durgom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104175694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	16629730 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kizzie Marie Durgom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kizzie Marie Durgom, RN 2000 Domanik Dr, Racine, WI 53404-2910 Ph: (262) 633-4800	Mrs Kizzie Marie Durgom, RN 2000 Domanik Dr, Racine, WI 53404-2910 Ph: (262) 633-4800

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Rosamaria E Garcia, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1120 Hartman Ct, Racine, WI 53404 Phone: 262-994-3266
Laura Schumacher, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 414-687-6210
Ms. Barbara Jo Paton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 714 Shoreland Dr, Racine, WI 53402 Phone: 262-639-1568
Mrs. Debra Kaye Prudhom Iii, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3613 Kinzie Ave, Racine, WI 53405 Phone: 262-632-4394
Ms. Veronique Gettis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5021 Byrd Ave, 201, Racine, WI 53406 Phone: 708-897-6489
Amy Connelly, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2317 Orchard St, Racine, WI 53405 Phone: 608-209-2241

Mrs Kizzie Marie Durgom, RN - Registered Nurse in Racine, WI