Individual
MS. EMILIA ZELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-2215
Mailing address
2112 WESTERN AVE, FORT WORTH, TX 76107-4209
(817) 791-7067
(817) 766-7027
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
459582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C17U
BCBSTX
TX
05
—
109916012
—
TX
01
—
8788UG
BCBS
TX
01
—
P01446810
RR
TX
Enumeration date
03/27/2006
Last updated
11/04/2015
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