Provider Demographics
NPI:1083685010
Name:ZUROSKE, CONSTANCE R (APRN)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:R
Last Name:ZUROSKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20375 W 151ST ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5306
Mailing Address - Country:US
Mailing Address - Phone:913-764-2737
Mailing Address - Fax:913-764-7502
Practice Address - Street 1:20375 W 151ST ST
Practice Address - Street 2:SUITE 106
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5306
Practice Address - Country:US
Practice Address - Phone:913-764-2737
Practice Address - Fax:913-764-7502
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45090363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP22426Medicare UPIN