Individual
LAURA ANNE ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4123 DUTCHMAN'S LANE, SUITE 301, LOUISVILLE, KY 40207-4721
(502) 896-2500
(502) 896-2527
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007675
KY
363LF0000X
Family Nurse Practitioner
3007675
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000910038
ANTHEM-KCNS
KY
01
—
169760
SIHO-KCNS
KY
01
—
50085874
PASSPORT - KCNS
KY
05
—
7100220390
—
KY
Enumeration date
09/20/2012
Last updated
11/04/2016
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