Lisa M Zoellner-Gullette
Nurse Practitioner
24 S Mount Auburn Rd
Cape Girardeau
, Missouri 63703-4914
Lisa M Zoellner-Gullette
Nurse Practitioner
24 S Mount Auburn Rd
Cape Girardeau
, Missouri 63703-4914
(573) 331-5079
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Lisa M Zoellner-Gullette
- Po Box 801143
- Kansas City, MO
- Zip : 64180-1143
- Fax : (573) 331-5079
- Phone : (573) 331-5583
Second Address
- Lisa M Zoellner-Gullette
- 24 S Mount Auburn Rd
- Cape Girardeau, MO
- Zip : 63703-4914
- Fax : (573) 331-5545
- Phone : (573) 331-5544
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FAQs
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What type of doctor is Lisa M Zoellner-Gullette
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What is Lisa M Zoellner-Gullette ’s gender?
Is Lisa M Zoellner-Gullette a sole practitioner?
Is Lisa M Zoellner-Gullette accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 130724 | MO |
National Provider Identifier
| NPI | 1013092725 |
|---|---|
| Provider Name | Lisa M Zoellner-Gullette |
| First Address | Kansas City, MO 64180-1143 |
| Second Address | Cape Girardeau, MO 63703-4914 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 03/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0279934-22 | MO CERTIFICATION NUMBER (01) | MO |
| 130724 | MO STATE LICENSE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.