Healthcare Provider Details

I. General information

NPI: 1679636906
Provider Name (Legal Business Name): CHRISTINA MARIE ZIENO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA MARIE KREINS M.D.

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 CAPEHART RD DEPARTMENT OF PATHOLOGY
OFFUTT A F B NE
68113-1043
US

IV. Provider business mailing address

507 RIDGEWOOD DR
BELLEVUE NE
68005-4746
US

V. Phone/Fax

Practice location:
  • Phone: 402-294-7317
  • Fax:
Mailing address:
  • Phone: 402-292-7560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number19030
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: