Provider Demographics
NPI:1669218475
Name:ZAHLER, CARLY (BSN,RN)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:ZAHLER
Suffix:
Gender:F
Credentials:BSN,RN
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:HIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN,RN
Mailing Address - Street 1:1410 E IRON AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3284
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1410 E IRON AVE
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-3284
Practice Address - Country:US
Practice Address - Phone:888-878-6881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-154848163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse