Individual ProviderKathleen Johanna ZakroczynskiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(770) 722-8432PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Johanna Zakroczynski does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1194081679Provider TypeIndividualFull NameZakroczynski, Kathleen JohannaTitleMs.CredentialMSN, APRN, NP-CGenderFemaleSole ProprietorNoEnumeration Date4/9/2012Last Updated11/30/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(770) 722-8432FaxUnlisted FaxMailing LocationMailing Address134 Walkers Way, Commerce, GA 30530-7716Phone(770) 722-8432FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN185316Georgia