Healthcare Provider Details

I. General information

NPI: 1265858641
Provider Name (Legal Business Name): KATRINA ZELENKA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E COLORADO BLVD STE 600
PASADENA CA
91105-3712
US

IV. Provider business mailing address

333 COMMERCE ST STE 700
NASHVILLE TN
37201-1826
US

V. Phone/Fax

Practice location:
  • Phone: 844-735-1418
  • Fax: 844-749-4733
Mailing address:
  • Phone: 615-454-9850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License NumberSP013193
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95006676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: