| Doctor Name: | KAREN ZOLLER |
| NPI Number: | 1730357377 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | 30534.1168 |
| Business Practice Address: | 28 Black Coal Dr. Fort Washakie, WY - 82514 |
| Business Phone Number: | 3073227300 |
| Business Fax Number: | 3073221503 |
| Mailing Address: | Po Box 128, FORT WASHAKIE |
| State: | WY |
| Postal Code: | 825140128 |
| Phone Number: | 3073227300 |
| Fax Number: | 3073221503 |
| NPI Enumeration Date: | 02/18/2008 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 30534.1168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |