Individual provider Active NPI

Holly Zuehlke-Frazelle, RN

  • General Practice Registered Nurse
  • Marana, AZ
National Provider Identifier
1821687211
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN206050 Issued in AZ
Practice address
12561 N Stone Pillar Dr
Marana, AZ 85653-8173
Phone
(520) 609-4882
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN206050 AZ Primary

Addresses

Primary practice location

12561 N Stone Pillar Dr
Marana, AZ 85653-8173

Mailing address

12561 N Stone Pillar Dr
Marana, AZ 85653-8173
Phone (520) 609-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN206050AZMDGeneral Practice Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1821687211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12561 N STONE PILLAR DR",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856538173",
            "telephone_number": "520-609-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12561 N STONE PILLAR DR",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856538173",
            "telephone_number": "520-609-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUEHLKE-FRAZELLE",
        "first_name": "HOLLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN206050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.