Provider Demographics
NPI:1124428453
Name:ZAHNISER, ANN LOUISE (APN)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:LOUISE
Last Name:ZAHNISER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 MORGAN ST
Mailing Address - Street 2:#2
Mailing Address - City:CARLINVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62626-1430
Mailing Address - Country:US
Mailing Address - Phone:217-854-3881
Mailing Address - Fax:
Practice Address - Street 1:1115 MORGAN ST
Practice Address - Street 2:#2
Practice Address - City:CARLINVILLE
Practice Address - State:IL
Practice Address - Zip Code:62626-1430
Practice Address - Country:US
Practice Address - Phone:217-854-3881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.011399363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily