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NPI Code Detail

MEDICARE: ZOE ZANELLA

MEDICARE: ZOE ZANELLA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1356274963
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE ZANELLA
Provider Business Mailing Address
First Line : 12400 PORTLAND AVE STE 195
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-6805
Country : US
Telephone Number : 952-443-4600
Fax Number : 952-443-4604
Provider Business Practice Location Address
First Line : 12400 PORTLAND AVE STE 195
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-6805
Country : US
Telephone Number : 952-443-4600
Fax Number : 952-443-4604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ ZOE ZANELLA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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