Provider Demographics
NPI:1063091270
Name:ZIEGLER, STEPHANIE M (CRNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 RIDGEWAY CT
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-5041
Mailing Address - Country:US
Mailing Address - Phone:215-720-9107
Mailing Address - Fax:
Practice Address - Street 1:1436 RIDGEWAY CT
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-5041
Practice Address - Country:US
Practice Address - Phone:215-720-9107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023927363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health