Doctor Name: | DONNA ZAMBETIS |
NPI Number: | 1063653335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704134884 |
Business Practice Address: | 1310 Wisconsin Ave Suite 200 Grand Haven, MI - 494172472 |
Business Phone Number: | 6168462640 |
Business Fax Number: | 6168463110 |
Mailing Address: | 1310 Wisconsin Ave, Suite 200 GRAND HAVEN |
State: | MI |
Postal Code: | 494172472 |
Phone Number: | 6168462640 |
Fax Number: | 6168463110 |
NPI Enumeration Date: | 03/17/2009 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704134884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |