Provider Demographics
NPI:1013051457
Name:ZARA, SHELLEY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:ANNE
Last Name:ZARA
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 1:9 HELVI HILL RD
Mailing Address - Street 2:
Mailing Address - City:MENDON
Mailing Address - State:VT
Mailing Address - Zip Code:05701-9668
Mailing Address - Country:US
Mailing Address - Phone:802-773-7685
Mailing Address - Fax:
Practice Address - Street 1:9 HELVI HILL RD
Practice Address - Street 2:
Practice Address - City:MENDON
Practice Address - State:VT
Practice Address - Zip Code:05701-9668
Practice Address - Country:US
Practice Address - Phone:802-773-7685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0007881207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine