Provider Demographics
NPI:1528426129
Name:ZOLLARS, LINDA (APRN-C)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:ZOLLARS
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 FAIRMOUNT 209 AHLBERG HL
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67260-0001
Mailing Address - Country:US
Mailing Address - Phone:316-978-3620
Mailing Address - Fax:316-978-3517
Practice Address - Street 1:1845 FAIRMOUNT 209 AHLBERG HL
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67260-0001
Practice Address - Country:US
Practice Address - Phone:316-978-3620
Practice Address - Fax:316-978-3517
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-44541-052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily