MEDICARE: BRENDA ZOHNER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209-005131	IL

General Provider Information

NPI Number	:	1063407500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA ZOHNER NP

Provider Business Mailing Address
First Line	:	286 DANBURY DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-3262
Country	:	US
Telephone Number	:	630-272-0738
Fax Number	:

Provider Business Practice Location Address
First Line	:	286 DANBURY DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-3262
Country	:	US
Telephone Number	:	630-272-0738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	03/19/2012

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