Provider Demographics
NPI:1457979783
Name:ZIEGLER, CHRISTY LEEANN
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LEEANN
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 922
Mailing Address - Street 2:
Mailing Address - City:CARLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89822-0922
Mailing Address - Country:US
Mailing Address - Phone:208-608-8574
Mailing Address - Fax:
Practice Address - Street 1:251 13TH ST.
Practice Address - Street 2:
Practice Address - City:CARLIN
Practice Address - State:NV
Practice Address - Zip Code:89822
Practice Address - Country:US
Practice Address - Phone:208-608-8574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician