Basic Information
Provider Information
NPI: 1528293610
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUSLER
FirstName: CHRISTIN
MiddleName: ZANONI
NamePrefix:  
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ZANONI
OtherFirstName: CHRISTIN
OtherMiddleName: AYN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: RN
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 204
Address2:  
City: BURLINGTON
State: NC
PostalCode: 272160204
CountryCode: US
TelephoneNumber: 3365387725
FaxNumber: 3365387785
Practice Location
Address1: 1236 HUFFMAN MILL RD
Address2: SUITE 120
City: BURLINGTON
State: NC
PostalCode: 272158700
CountryCode: US
TelephoneNumber: 3365387725
FaxNumber: 3365387785
Other Information
ProviderEnumerationDate: 05/19/2009
LastUpdateDate: 11/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X5004369NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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