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NPI Code Detail

MEDICARE: MISS MARY E ZIENTEK RN

MEDICARE: MISS MARY E ZIENTEK RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP2201XAmbulatory Care Registered NurseRO42152OK

General Provider Information

NPI Number : 1023352721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARY E ZIENTEK RN
Provider Business Mailing Address
First Line : 781 GRAND CASINO BLVD
Second Line : CITIZEN POTAWATOMI NATION HEALTH SERVICES
City : SHAWNEE
State : OK
Zip : 74804-1005
Country : US
Telephone Number : 405-964-5770
Fax Number : 405-964-5788
Provider Business Practice Location Address
First Line : 781 GRAND CASINO BLVD
Second Line : CITIZEN POTAWATOMI NATION HEALTH SERVICES
City : SHAWNEE
State : OK
Zip : 74804-1005
Country : US
Telephone Number : 405-964-5770
Fax Number : 405-964-5788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 11/19/2012

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Directions to “ MISS MARY E ZIENTEK RN” Practice Location

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