Provider Demographics
NPI:1902216757
Name:ZEITLER, EVAN
Entity Type:Individual
Prefix:
First Name:EVAN
Middle Name:
Last Name:ZEITLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC PEDIATRIC EDUCATION OFC
Mailing Address - Street 2:230 MACNIDER; CB#7593
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-6770
Mailing Address - Fax:919-966-8419
Practice Address - Street 1:1139 CARTHAGE ST STE 105
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4144
Practice Address - Country:US
Practice Address - Phone:919-774-2875
Practice Address - Fax:919-708-4696
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-02
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018-00129207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology