Doctor Name: | KATHERINE VAN ZANDT |
NPI Number: | 1306256672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | P859105 |
Business Practice Address: | 5 Paul X Tivnan Dr West Boylston, MA - 015832126 |
Business Phone Number: | 5088541800 |
Business Fax Number: | |
Mailing Address: | 2090 Columbiana Rd, VESTAVIA |
State: | AL |
Postal Code: | 352162153 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/07/2014 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146L00000X |
License Number: | P859105 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Paramedic |
Taxonomy Specialization: | |
Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |