Healthcare Provider Details

I. General information

NPI: 1235112475
Provider Name (Legal Business Name): KATHLEEN ZIERSKI CRNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 02/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 SOUTH ST STE 306
GREENSBURG PA
15601-2774
US

IV. Provider business mailing address

540 SOUTH ST STE 306
GREENSBURG PA
15601-2774
US

V. Phone/Fax

Practice location:
  • Phone: 724-837-8958
  • Fax: 724-837-8984
Mailing address:
  • Phone: 724-837-8958
  • Fax: 724-837-8984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTP005149B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: