Provider Demographics
NPI:1144299041
Name:BRTEK-ZWIENER, MICHELLE D (APRN)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:D
Last Name:BRTEK-ZWIENER
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:809 1/2 S 13TH ST
Mailing Address - Street 2:DIABETES AND WELLNES CLINIC LLC
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-5753
Mailing Address - Country:US
Mailing Address - Phone:402-379-9600
Mailing Address - Fax:402-379-9601
Practice Address - Street 1:809 1/2 S 13TH ST
Practice Address - Street 2:DIABETES AND WELLNES CLINIC LLC
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-5753
Practice Address - Country:US
Practice Address - Phone:402-379-9600
Practice Address - Fax:402-379-9601
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2011-06-14
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Provider Licenses
StateLicense IDTaxonomies
NE110697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily