Most Relevant Information
Provider Data
| NPI Number: | 1003535543 |
| Provider Name: | MIA P. ZELLER APN-CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041.466864 |
Most Important Dates
| Enumeration Date: | 08/26/2022 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
2650 RIDE AVE.
DEPARTMENT OF ANESTHESIA
EVANSTON
IL
602011718
Practice Location Phone/Fax
| Phone: | 8475702760 |
| Fax: | 8475702921 |
Provider Mailing Location
2650 RIDE AVE.
DEPARTMENT OF ANESTHESIA
EVANSTON
IL
602011718
Provider Mailing Phone/Fax
| Phone: | 8475702760 |
| Fax: | 8475702921 |