Healthcare Provider Details

I. General information

NPI: 1164524385
Provider Name (Legal Business Name): KAREN LOUISE ZIEGLER RN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 W TRINITY AVE
DURHAM NC
27701-1826
US

IV. Provider business mailing address

508 FULTON ST
DURHAM NC
27705-3897
US

V. Phone/Fax

Practice location:
  • Phone: 919-688-3079
  • Fax: 919-688-8049
Mailing address:
  • Phone: 919-286-0411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number131148
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: