Provider Demographics
NPI:1669408423
Name:ZOELLERS, MARGARET H (APRN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:H
Last Name:ZOELLERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40743-0936
Mailing Address - Country:US
Mailing Address - Phone:606-330-7835
Mailing Address - Fax:606-330-7825
Practice Address - Street 1:148 LONDON MOUNTAIN VIEW DR STE 4
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-6617
Practice Address - Country:US
Practice Address - Phone:606-864-0103
Practice Address - Fax:606-878-0504
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2556P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3002556OtherMEDICAL LICENSE
KY78025566Medicaid
KYQ61646Medicare UPIN
KS0925109Medicare PIN