Provider Demographics
NPI:1245955970
Name:ZELLMER, ROBIN S (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:S
Last Name:ZELLMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:SUE
Other - Last Name:SCHUETTPELZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:N242 THYME WAY
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-3994
Mailing Address - Country:US
Mailing Address - Phone:920-427-9188
Mailing Address - Fax:
Practice Address - Street 1:N242 THYME WAY
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-3994
Practice Address - Country:US
Practice Address - Phone:920-427-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI95726-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse