Healthcare Provider Details

I. General information

NPI: 1285304824
Provider Name (Legal Business Name): HALEY E ZWIEBEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 REDSKIN TRL STE D
WAPAKONETA OH
45895-8545
US

IV. Provider business mailing address

5775 PERIMETER DR STE 200
DUBLIN OH
43017-3224
US

V. Phone/Fax

Practice location:
  • Phone: 419-549-5607
  • Fax: 419-754-2523
Mailing address:
  • Phone: 614-845-0418
  • Fax: 614-389-3841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0029757
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: