MEDICARE: MRS. DORIS KAY ZEDLITZ RN MSN ACNP-BC

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	363L00000X	Nurse Practitioner	244138	TX

General Provider Information

NPI Number	:	1225090129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DORIS KAY ZEDLITZ RN MSN ACNP-BC

Provider Business Mailing Address
First Line	:	3000 N IH 35
Second Line	:	SUITE 700
City	:	AUSTIN
State	:	TX
Zip	:	78705-1804
Country	:	US
Telephone Number	:	512-807-3150
Fax Number	:	512-458-7879

Provider Business Practice Location Address
First Line	:	3000 N IH 35
Second Line	:	SUITE 700
City	:	AUSTIN
State	:	TX
Zip	:	78705-1804
Country	:	US
Telephone Number	:	512-807-3150
Fax Number	:	512-458-7879

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	02/01/2022

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