Healthcare Provider Details

I. General information

NPI: 1114012416
Provider Name (Legal Business Name): LEIGH ANNE ZOLLINGER CFNP, CEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEIGH ANNE YATES

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

996 SOUTH STATE ROAD IU HEALTH URGENT CARE
GREENWOOD IN
46143
US

IV. Provider business mailing address

4813 BRENTRIDGE CT
GREENWOOD IN
46143-9371
US

V. Phone/Fax

Practice location:
  • Phone: 317-893-3888
  • Fax:
Mailing address:
  • Phone: 757-483-1541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number002416696
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-45643
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71005892A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: