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Contact Information

LISA M ZOELLNER GULLETTE, APRN BC
1723 BROADWAY ST STE 205
CAPE GIRARDEAU, MO63701-4556
 Phone: 573-651-2270
 Fax: 573-986-6030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA M ZOELLNER GULLETTE · (Female)

NPI # 1013092725
Status Active
Credentials APRN BC
Entity Individual
Enumeration date 10/25/2006
Last updated 11/04/2008 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 130724
  • MO Other 0279934-22 MO CERTIFICATION NUMBER
  • MO Other 130724 MO STATE LICENSE
Hospital affiliation(s)
  • ST FRANCIS MEDICAL CENTER - (Acute Care)
    211 ST FRANCIS DR
    CAPE GIRARDEAU, MO 63703
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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