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Individual

ELIZABETH MARIA ZARANTONELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4822
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4822

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
261664
GA
363LF0000X
Family Nurse Practitioner
Primary
3018849
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111823
MEDICARE
GA
Enumeration date
06/28/2018
Last updated
02/13/2023
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