Provider Demographics
NPI:1407185762
Name:ZEISET, DANIEL ZACHARY (RN)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ZACHARY
Last Name:ZEISET
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-3404
Mailing Address - Country:US
Mailing Address - Phone:719-539-0152
Mailing Address - Fax:
Practice Address - Street 1:209 E 3RD ST
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2614
Practice Address - Country:US
Practice Address - Phone:719-539-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO190860163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health