Individual
ANNE ELIZABETH ZAHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 W 240 S, LAFAYETTE, IN 47909-6303
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71000091A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372087
MEDICAID PROVIDER NUMBER
IN
05
—
200083990
—
IN
01
—
9397747
PHCS PID NUMBER
IN
Enumeration date
03/23/2006
Last updated
07/23/2012
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