Basic Information
| Provider Information | |||||||||
| NPI: | 1609121748 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZWANZIGER | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | LYN | ||||||||
| NamePrefix: | |||||||||
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| Credential: | ACNP | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1225 S GEAR AVE STE 153 | ||||||||
| Address2: | |||||||||
| City: | WEST BURLINGTON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 526551686 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3197544400 | ||||||||
| FaxNumber: | 3197544412 | ||||||||
| Practice Location | |||||||||
| Address1: | 1225 S GEAR AVE STE 153 | ||||||||
| Address2: | |||||||||
| City: | WEST BURLINGTON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 526551686 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3197544400 | ||||||||
| FaxNumber: | 3197544412 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2012 | ||||||||
| LastUpdateDate: | 09/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | L-118440 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.