Provider Demographics
NPI:1518366491
Name:ZUEL, STACI
Entity Type:Individual
Prefix:
First Name:STACI
Middle Name:
Last Name:ZUEL
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 1:1613 E WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1812
Mailing Address - Country:US
Mailing Address - Phone:913-999-8756
Mailing Address - Fax:
Practice Address - Street 1:1613 E WILLOW DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1812
Practice Address - Country:US
Practice Address - Phone:913-999-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS195622376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide