Doctor Name: | CHRISTINA MARIE ZIENO |
NPI Number: | 1679636906 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 19030 |
Business Practice Address: | 2501 Capehart Rd Department Of Pathology Offutt A F B, NE - 681131043 |
Business Phone Number: | 4022947317 |
Business Fax Number: | |
Mailing Address: | 507 Ridgewood Dr, BELLEVUE |
State: | NE |
Postal Code: | 680054746 |
Phone Number: | 4022927560 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 19030 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |