MEDICARE: JEFFREY ZAENGER CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	COA.17354-NP	OH

General Provider Information

NPI Number	:	1053791483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY ZAENGER CNP

Provider Business Mailing Address
First Line	:	237 WILLIAM HOWARD TAFT RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2610
Country	:	US
Telephone Number	:	513-351-9900
Fax Number	:	513-366-4491

Provider Business Practice Location Address
First Line	:	4803 MONTGOMERY RD STE 120
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-1153
Country	:	US
Telephone Number	:	513-631-2474
Fax Number	:	513-531-0862

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2015
Last Update Date	:	06/09/2022

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