Doctor Name: | MISS MARY E ZIENTEK |
NPI Number: | 1023352721 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RO42152 |
Business Practice Address: | 781 Grand Casino Blvd Citizen Potawatomi Nation Health Services Shawnee, OK - 748041005 |
Business Phone Number: | 4059645770 |
Business Fax Number: | 4059645788 |
Mailing Address: | 781 Grand Casino Blvd, Citizen Potawatomi Nation Health Services SHAWNEE |
State: | OK |
Postal Code: | 748041005 |
Phone Number: | 4059645770 |
Fax Number: | 4059645788 |
NPI Enumeration Date: | 11/19/2012 |
NPI Last Update Date: | 11/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RO42152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |