Individual provider Active NPI

Mary Chiazor Nzegwu, RN

  • Registered Nurse
  • Platteville, WI
National Provider Identifier
1073768834
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
35039300 Issued in WI
Practice address
60 Preston Dr
Platteville, WI 53818-3017
Phone
(608) 348-3344
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 35039300 WI Primary

Addresses

Primary practice location

60 Preston Dr
Platteville, WI 53818-3017

Mailing address

60 Preston Dr
Platteville, WI 53818-3017
Phone (608) 348-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
35039300WIMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1073768834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PRESTON DR",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183017",
            "telephone_number": "608-348-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PRESTON DR",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183017",
            "telephone_number": "608-348-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZEGWU",
        "first_name": "MARY",
        "middle_name": "CHIAZOR",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "35039300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.