Provider Demographics
NPI:1225090129
Name:ZEDLITZ, DORIS KAY (RN MSN ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:KAY
Last Name:ZEDLITZ
Suffix:
Gender:F
Credentials:RN MSN ACNP-BC
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Mailing Address - Street 1:3000 N IH 35
Mailing Address - Street 2:SUITE 700
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1804
Mailing Address - Country:US
Mailing Address - Phone:512-807-3150
Mailing Address - Fax:512-458-7879
Practice Address - Street 1:3000 N IH 35
Practice Address - Street 2:SUITE 700
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1804
Practice Address - Country:US
Practice Address - Phone:512-807-3150
Practice Address - Fax:512-458-7879
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX244138363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J9790Medicare PIN
TXP22182Medicare UPIN