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Individual

KAREN ZOLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
28 BLACK COAL DR., FORT WASHAKIE, WY 82514
(307) 322-7300
(307) 322-1503
Mailing address
PO BOX 128, FORT WASHAKIE, WY 82514-0128
(307) 322-7300
(307) 322-1503

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30534.1168
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72583380
NM
Enumeration date
02/18/2008
Last updated
06/26/2013
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