Provider Demographics
NPI:1093434425
Name:ZOECKLER, LAUREN (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ZOECKLER
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 MERRIMON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3426
Mailing Address - Country:US
Mailing Address - Phone:828-253-4350
Mailing Address - Fax:
Practice Address - Street 1:612 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3426
Practice Address - Country:US
Practice Address - Phone:828-253-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF06220684363LF0000X
NC5017418363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily