Provider Demographics
NPI:1740170349
Name:ZELTMANN, LEE-ANN BACKUS (FNP)
Entity type:Individual
Prefix:
First Name:LEE-ANN
Middle Name:BACKUS
Last Name:ZELTMANN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 LILY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-2743
Mailing Address - Country:US
Mailing Address - Phone:914-213-0923
Mailing Address - Fax:
Practice Address - Street 1:231 LILY LAKE RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2743
Practice Address - Country:US
Practice Address - Phone:914-213-0923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF34682-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily