Provider Demographics
NPI:1710239603
Name:ZUEHLKE, ELIZABETH FAYE (RN)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:FAYE
Last Name:ZUEHLKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:FAYE
Other - Last Name:GIERING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5513 SIEBERT ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-0089
Mailing Address - Country:US
Mailing Address - Phone:989-708-7513
Mailing Address - Fax:
Practice Address - Street 1:5513 SIEBERT ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-0089
Practice Address - Country:US
Practice Address - Phone:989-708-7513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704144693163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency