Basic Information
Provider Information
NPI: 1285017517
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEIGER
FirstName: VICTORIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 49 HIGHWAY 62 412
Address2:  
City: ASH FLAT
State: AR
PostalCode: 725139594
CountryCode: US
TelephoneNumber: 8709947301
FaxNumber: 8709947488
Practice Location
Address1: 49 HIGHWAY 62 412
Address2:  
City: ASH FLAT
State: AR
PostalCode: 725139594
CountryCode: US
TelephoneNumber: 8709947301
FaxNumber: 8709947488
Other Information
ProviderEnumerationDate: 07/06/2015
LastUpdateDate: 07/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XA004452ARY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


Home