Individual
SUZANNE ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2211
Mailing address
189 HIDDEN VALLEY ROAD, COLD SPRING, KY 41076
(859) 635-2163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1077189
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
086780
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000692114
ANTHEM
—
05
—
201015440
—
IN
05
—
3137957
—
OH
01
—
611077369001
HEALTHNET
—
05
—
7100150510
—
KY
01
—
P00973452
OHIO RR MEDICARE
OH
Enumeration date
11/29/2010
Last updated
11/15/2011
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