Provider Demographics
NPI:1831601228
Name:ZOTT, KAREN ANDERSON (APRN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANDERSON
Last Name:ZOTT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANDERSON
Other - Last Name:ZOTT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN; FNP-BC
Mailing Address - Street 1:233 E OPAL DR
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1455
Mailing Address - Country:US
Mailing Address - Phone:860-559-5821
Mailing Address - Fax:
Practice Address - Street 1:355 HIGH ST
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-1306
Practice Address - Country:US
Practice Address - Phone:860-465-2460
Practice Address - Fax:860-465-2463
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12.007266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily