Healthcare Provider Details

I. General information

NPI: 1033828363
Provider Name (Legal Business Name): MRS. DAWNAN A ZOGLMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 N MAIN ST
GARDEN PLAIN KS
67050-5005
US

IV. Provider business mailing address

721 WOLF ST
CHENEY KS
67025-8011
US

V. Phone/Fax

Practice location:
  • Phone: 316-535-6038
  • Fax: 316-535-6039
Mailing address:
  • Phone: 316-300-1771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: