Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 20215306NP-PP | OR |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 8597 | WI |
NPI | 1083194112 |
---|---|
Provider Name | Mr. Danial M Zepplin |
First Address | Bend, OR 97701-6015 |
Second Address | Marshfield, WI 54449-9528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2018 |
Last Update Date | 02/12/2021 |