Provider Demographics
NPI:1184282949
Name:ZIEGELMANN, CARRIE (CRNA)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:ZIEGELMANN
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:CARRIE ANN
Other - Middle Name:STAR
Other - Last Name:ZIEGELMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:1601 SW WHITE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2498
Mailing Address - Country:US
Mailing Address - Phone:816-810-5295
Mailing Address - Fax:
Practice Address - Street 1:851 TRAFALGAR CT STE 200E
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7420
Practice Address - Country:US
Practice Address - Phone:321-422-7166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012026769163W00000X
FL11002640367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse