MEDICARE: TAMMY SUE ZIEGLER WHCNP

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	363LW0102X	Women's Health Nurse Practitioner	71000481A	IN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	71000481A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558356766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY SUE ZIEGLER WHCNP

Provider Business Mailing Address
First Line	:	147 W GREEN MEADOWS DR STE 2
Second Line	:
City	:	GREENFIELD
State	:	IN
Zip	:	46140-4000
Country	:	US
Telephone Number	:	812-486-5715
Fax Number	:

Provider Business Practice Location Address
First Line	:	675 JUSTICE WAY
Second Line	:	ROOM C0049
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46203
Country	:	US
Telephone Number	:	877-465-6650
Fax Number	:	804-294-2775

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	01/02/2025

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