Provider Demographics
NPI:1962200238
Name:GANZERT, ISABEL WINEFRED (PHD)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:WINEFRED
Last Name:GANZERT
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:WINEFRED
Other - Last Name:KENNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:605 W CHAPEL HILL ST APT 664
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2777
Mailing Address - Country:US
Mailing Address - Phone:336-255-6890
Mailing Address - Fax:
Practice Address - Street 1:605 W CHAPEL HILL ST APT 664
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2777
Practice Address - Country:US
Practice Address - Phone:336-255-6890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program