Provider Demographics
NPI:1023117405
Name:ZOLLER, MARCY J (CRNP)
Entity type:Individual
Prefix:MS
First Name:MARCY
Middle Name:J
Last Name:ZOLLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:109 S ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024-1605
Mailing Address - Country:US
Mailing Address - Phone:412-996-2917
Mailing Address - Fax:
Practice Address - Street 1:5200 CENTRE AVE STE 610
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1326
Practice Address - Country:US
Practice Address - Phone:412-621-1200
Practice Address - Fax:412-621-9958
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009121207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease