Provider Demographics
NPI:1558356766
Name:ZIEGLER, TAMMY SUE (WHCNP)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:SUE
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:SUE
Other - Last Name:NOGGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHCNP
Mailing Address - Street 1:147 W GREEN MEADOWS DR STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-4000
Mailing Address - Country:US
Mailing Address - Phone:812-486-5715
Mailing Address - Fax:
Practice Address - Street 1:147 W GREEN MEADOWS DR STE 2
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-4000
Practice Address - Country:US
Practice Address - Phone:812-486-5715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000481A363LW0102X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200301100Medicaid
S41669Medicare UPIN
IN200301100Medicaid