LISA R ZETTLER NPI 1083247555

NPI Information

NPI: 1083247555
Provider Name: LISA R ZETTLER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA
ZIP 24014
Phone: (540) 853-0100
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Lisa R Zettler is a family nurse practitioner in Roanoke, VA with 5 years of experience. Lisa R Zettler NPI is 1083247555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2019

The provider's business location address is:

2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA
ZIP 24014-465
Phone: (540) 853-0100

The NPI 1083247555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/12/2020 and was last updated on 8/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		PENDING	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	0024179039	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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