Provider Demographics
NPI:1477236057
Name:ZACHER, JOANNA KAY
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:KAY
Last Name:ZACHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 9TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-3922
Mailing Address - Country:US
Mailing Address - Phone:170-142-5418
Mailing Address - Fax:
Practice Address - Street 1:207 9TH AVE SW
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-3922
Practice Address - Country:US
Practice Address - Phone:701-425-4185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant