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NPI Code Detail

MEDICARE: ZACHERY VAN OOYEN R.N,

MEDICARE: ZACHERY VAN OOYEN 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
1163W00000XRegistered NurseRN.0196175CO

General Provider Information

NPI Number : 1871995571
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHERY VAN OOYEN R.N,
Provider Business Mailing Address
First Line : 101 W 9TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-4103
Country : US
Telephone Number : 719-583-4364
Fax Number : 719-583-4375
Provider Business Practice Location Address
First Line : 101 W 9TH ST
Second Line :
City : PUEBLO
State : CO
Zip : 81003-4103
Country : US
Telephone Number : 719-583-4364
Fax Number : 719-583-4375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 09/24/2014

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Directions to “ ZACHERY VAN OOYEN R.N,” Practice Location

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