Provider Demographics
NPI:1134618606
Name:ZIEGLER, KATHERINE ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:MATCHETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6442 HARRISON PIKE
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416-1413
Mailing Address - Country:US
Mailing Address - Phone:574-612-1538
Mailing Address - Fax:
Practice Address - Street 1:5625 HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:BIRCHWOOD
Practice Address - State:TN
Practice Address - Zip Code:37308-5155
Practice Address - Country:US
Practice Address - Phone:423-961-0446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC222616163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse