PATRICIA SULLIVAN ZETTERBERG NP NPI 1548584964

NPI Information

NPI: 1548584964
Provider Name: PATRICIA SULLIVAN ZETTERBERG, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

CLIA Number: 44D2272651

Address:
2018 CLINCH AVE
KNOXVILLE, TN
ZIP 37916
Phone: (865) 541-8830
Get Directions

Patricia Sullivan Zetterberg, NP is a pediatrics nurse practitioner in Knoxville, TN. Patricia Sullivan Zetterberg, NP NPI is 1548584964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2018 CLINCH AVE
KNOXVILLE, TN
ZIP 37916-301
Phone: (865) 541-8830
Fax: (865) 541-8405

The CLIA number assigned to this NPI record is 44D2272651 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2010 and was last updated on 4/8/2022.

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	363LP0200X	Nurse Practitioner	Pediatrics	14827	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q002741	MEDICAID	TENNESSEE

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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