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NPI Code Detail

MEDICARE: CASSEY W ZIEGLER FNP-C

MEDICARE: CASSEY W ZIEGLER FNP-C
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
1363LF0000XFamily Nurse Practitioner71010239AIN

General Provider Information

NPI Number : 1073123022
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSEY W ZIEGLER FNP-C
Provider Business Mailing Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2516
Country : US
Telephone Number : 812-996-8478
Fax Number : 812-996-0214
Provider Business Practice Location Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2516
Country : US
Telephone Number : 812-996-0323
Fax Number : 812-996-0321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2020
Last Update Date : 09/04/2020

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