Provider Demographics
NPI:1205620218
Name:ZEIS, KRISTY (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:ZEIS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:
Other - Last Name:BRAMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3990 FORT LOUDON RD
Mailing Address - Street 2:
Mailing Address - City:MERCERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17236-9691
Mailing Address - Country:US
Mailing Address - Phone:717-262-5711
Mailing Address - Fax:
Practice Address - Street 1:303 ADCLARE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3825
Practice Address - Country:US
Practice Address - Phone:301-991-4654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA250499207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine