Healthcare Provider Details

I. General information

NPI: 1417495763
Provider Name (Legal Business Name): DAYNA CHRISTINE ZIELINSKI NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAYNA CHRISTINE DUNNE

II. Dates (important events)

Enumeration Date: 02/07/2017
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JEFFERSON AVE SE
GRAND RAPIDS MI
49503-4502
US

IV. Provider business mailing address

1900 44TH ST SE
KENTWOOD MI
49508-5008
US

V. Phone/Fax

Practice location:
  • Phone: 616-685-6902
  • Fax:
Mailing address:
  • Phone: 616-685-1808
  • Fax: 616-685-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number4704294018
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: