Healthcare Provider Details

I. General information

NPI: 1770086571
Provider Name (Legal Business Name): JOELLE CHRISTINE ZEIEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2018
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S MAIN ST # 1
CHARLES CITY IA
50616-3440
US

IV. Provider business mailing address

123 5TH AVE SE
SPRING GROVE MN
55974-1318
US

V. Phone/Fax

Practice location:
  • Phone: 641-228-5151
  • Fax:
Mailing address:
  • Phone: 507-498-3302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6121
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA133725
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: