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Individual

KATHERINE T. ZWIEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
200 SAINT CLAIR AVE STE 101, SAINT MARYS, OH 45885-2400
(419) 394-9522
(419) 394-9523
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 300-1129
(419) 394-9575

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020488
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0228505
OH
01
0405065
MEDICAID GROUP
OH
01
34-1689161
GROUP TAX ID
OH
01
9934723
MEDICARE GROUP PTAN
OH
01
H571042
MEDICARE PTAN
OH
Enumeration date
06/01/2017
Last updated
08/10/2020
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