MARY C. DUTKIEWICZ N.P.
NPI 1508880410
Nurse Practitioner in Racine, WI

Active since July 26, 2006
3805A SPRING ST, STE 310, RACINE, WI 53405(262) 687-8260 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary C. Dutkiewicz N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY C. DUTKIEWICZ N.P. (NPI 1508880410) is an individual nurse practitioner in Racine, Wisconsin, licensed in Wisconsin (1700-033) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508880410
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY C. DUTKIEWICZCredential: N.P.
Location Address3805A SPRING ST, STE 310Racine, WI 53405-1600
Mailing Address3805a Spring St, Ste 310Racine, WI 53405-1600 · (262) 687-8260
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508880410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 1700-033
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3805A SPRING ST, Racine, WI 53405

Other Identifiers 1

Medicare UPINS85204

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
3805A SPRING ST, SUITE 111
RACINE, WI 53405
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3805A SPRING ST
MOUNT PLEASANT, WI 53405
Ophthalmology
3805A SPRING ST, SUITE 111
MOUNT PLEASANT, WI 53405
Eyewear Supplier
3805A SPRING ST, SUITE 111
RACINE, WI 53405
Dietitian, Registered
3805A SPRING ST
MOUNT PLEASANT, WI 53405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508880410, enumerated as an "individual" on July 26, 2006.

The provider is located at 3805A SPRING ST STE 310 RACINE, WI 53405 and the phone number is (262) 687-8260.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.