Zoellner-Gullette, Lisa M

Zoellner-Gullette, Lisa M is an individual health care provider with primary practice located at 24 S Mount Auburn Rd , Cape Girardeau MO 63703-4914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Zoellner-Gullette, Lisa M can be contacted via phone (573) 331-5544.

Contact Information

Primary practice address
24 S Mount Auburn Rd Cape Girardeau MO 63703-4914
Phone: (573) 331-5544
Fax: (573) 331-5545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 130724 Missouri

Profile Details

NPI number 1013092725
LBN Legal business name Zoellner-Gullette, Lisa M
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013092725 NPPES
Missouri Other 0279934-22 MO CERTIFICATION NUMBER
Missouri Other 130724 MO CERTIFICATION NUMBER

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