Provider Demographics
NPI:1780154765
Name:ZUELLIG, BIANCA CHRISTINA (AGPCNP)
Entity type:Individual
Prefix:MRS
First Name:BIANCA
Middle Name:CHRISTINA
Last Name:ZUELLIG
Suffix:
Gender:
Credentials:AGPCNP
Other - Prefix:
Other - First Name:BIANCA
Other - Middle Name:CHRISTINA
Other - Last Name:CAPORUSCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28595 ORCHARD LAKE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2979
Mailing Address - Country:US
Mailing Address - Phone:248-553-0010
Mailing Address - Fax:
Practice Address - Street 1:28595 ORCHARD LAKE RD STE 200
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2979
Practice Address - Country:US
Practice Address - Phone:586-445-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-03
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704297450363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health