MEDICARE: NANCY ANNE ZIEBER CRNP

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	363LA2200X	Adult Health Nurse Practitioner	SP008151	PA

General Provider Information

NPI Number	:	1285636001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY ANNE ZIEBER CRNP

Provider Business Mailing Address
First Line	:	230 W WASHINGTON SQ
Second Line	:	FARM JOURNAL BUILDING, 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3585
Country	:	US
Telephone Number	:	215-829-7786
Fax Number	:	215-829-7000

Provider Business Practice Location Address
First Line	:	230 W WASHINGTON SQ
Second Line	:	POHA, FARM JOURNAL BUILDING, 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3500
Country	:	US
Telephone Number	:	215-829-7786
Fax Number	:	215-829-7000

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	10/02/2013

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