Provider Demographics
NPI:1689763575
Name:ZUERLEIN, NANCY WOOD (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:WOOD
Last Name:ZUERLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 SHELBYVILLE RD
Mailing Address - Street 2:STE 220
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2992
Mailing Address - Country:US
Mailing Address - Phone:502-429-8585
Mailing Address - Fax:502-429-6157
Practice Address - Street 1:5 EXECUTIVE CENTER CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4375
Practice Address - Country:US
Practice Address - Phone:501-227-5210
Practice Address - Fax:855-656-7325
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-8496207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR124501001Medicaid
ARC-8496OtherAR MEDICAL BOARD LICENSE
AR710412027OtherEIN
ARE59767Medicare UPIN
AR124501001Medicaid