Healthcare Provider Details

I. General information

NPI: 1164350385
Provider Name (Legal Business Name): KATELEND NICOLE ZABEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W 10TH ST
ROLLA MO
65401-2905
US

IV. Provider business mailing address

20385 HIGHWAY 42
BELLE MO
65013-2800
US

V. Phone/Fax

Practice location:
  • Phone: 573-458-8899
  • Fax:
Mailing address:
  • Phone: 206-383-8426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2023013730
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: