Healthcare Provider Details

I. General information

NPI: 1891507745
Provider Name (Legal Business Name): ANNE E ZOLLMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE SCHNEIDER

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S LANDMARK AVE
BLOOMINGTON IN
47403-3239
US

IV. Provider business mailing address

715 CRYSTAL COURT DR
BEDFORD IN
47421-6777
US

V. Phone/Fax

Practice location:
  • Phone: 812-333-5973
  • Fax:
Mailing address:
  • Phone: 330-604-5576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number28273989A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71016420A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: