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NPI Code Detail

MEDICARE: THERESA J ZORN NP

MEDICARE: THERESA J ZORN 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
1363LA2200XAdult Health Nurse Practitioner24701TN
2207Q00000XFamily Medicine PhysicianAPRN11033734FL
3363LA2200XAdult Health Nurse PractitionerAP60833240WA
4363LG0600XGerontology Nurse Practitioner24701TN
5363LA2200XAdult Health Nurse Practitioner209.014173IL

General Provider Information

NPI Number : 1407210172
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA J ZORN NP
Provider Business Mailing Address
First Line : 30305 INGALLS CT
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7875
Country : US
Telephone Number : 509-978-9487
Fax Number :
Provider Business Practice Location Address
First Line : 30305 INGALLS CT
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7875
Country : US
Telephone Number : 509-978-9487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 05/26/2026

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