Doctor Name: | BLYTHE H ZIELENSKI |
NPI Number: | 1124094859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 15-00943 |
Business Practice Address: | 3400 Frank Phillips Suite 702 Bartlesville, OK - 74006 |
Business Phone Number: | 9183312500 |
Business Fax Number: | 9183312506 |
Mailing Address: | 226 Se Debell Ave, Bldg A BARTLESVILLE |
State: | OK |
Postal Code: | 740062343 |
Phone Number: | 9183312500 |
Fax Number: | 9183312506 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 06/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 15-00943 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |