| Liberty J Zyduck, RN, RD, NNP | |
|
405 Stageline Rd, Hudson, WI 54016-7848 | |
| (715) 531-6000 | |
| Not Available |
| Full Name | Liberty J Zyduck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 405 Stageline Rd, Hudson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336371780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 262220-30 (Wisconsin) | Primary |
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 20906 (Wisconsin) | Secondary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty J Zyduck, RN, RD, NNP 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Liberty J Zyduck, RN, RD, NNP 405 Stageline Rd, Hudson, WI 54016-7848 Ph: (715) 531-6000 |
Meghan Elizabeth Schulz, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 | |
Ramona N Nesse, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2310 Crest View Dr, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 | |
Laura Beeson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2651 Hillcrest Dr, Suite 303, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 | |
Marjorie Jean Belisle, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2651 Hillcrest Drive, Suite 303, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 | |
Christina Dittrich, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2651 Hillcrest Drive, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 | |
Jessica Blackford, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6800 Fax: 715-531-6801 |