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NPI Code Detail

MEDICARE: KRISTIN ANN ZALAR C.N.P, R.N.

MEDICARE: KRISTIN ANN ZALAR C.N.P, R.N.
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 Practitioner12476-NPOH

General Provider Information

NPI Number : 1184912073
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN ANN ZALAR C.N.P, R.N.
Provider Business Mailing Address
First Line : 6559 WILSON MILLS RD
Second Line : SUITE 106
City : MAYFIELD VILLAGE
State : OH
Zip : 44143-6402
Country : US
Telephone Number : 440-449-1540
Fax Number : 440-460-2833
Provider Business Practice Location Address
First Line : 6559 WILSON MILLS RD
Second Line : SUITE 106
City : MAYFIELD VILLAGE
State : OH
Zip : 44143-6402
Country : US
Telephone Number : 440-449-1540
Fax Number : 440-460-2833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2011
Last Update Date : 08/08/2011

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Directions to “ KRISTIN ANN ZALAR C.N.P, R.N.” Practice Location

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