Provider Demographics
NPI:1497437644
Name:ZAENGLEIN, ROBYN K (FNP-C)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:K
Last Name:ZAENGLEIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 N SAMUEL MOORE PKWY # A
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46158-1467
Mailing Address - Country:US
Mailing Address - Phone:317-483-5000
Mailing Address - Fax:
Practice Address - Street 1:820 N SAMUEL MOORE PKWY # A
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1467
Practice Address - Country:US
Practice Address - Phone:317-483-5000
Practice Address - Fax:317-483-5050
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71014485A363LF0000X
INF07230578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN068010955OtherMEDICARE PTAN
IN300083229Medicaid