Healthcare Provider Details

I. General information

NPI: 1700268927
Provider Name (Legal Business Name): GRETCHEN ZINSLI CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 NW 26TH ST
OWATONNA MN
55060-5503
US

IV. Provider business mailing address

1920 PHEASANT RUN DR NE
OWATONNA MN
55060-3208
US

V. Phone/Fax

Practice location:
  • Phone: 507-451-1120
  • Fax:
Mailing address:
  • Phone: 507-413-0290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR1799624
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: