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NPI 1265858641

NPI 1265858641 : KATRINA ZELENKA FNP-C : PASADENA, CA

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General NPI Number Information
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    NPI Number           |    1265858641
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    Entity Type          |    Individual 
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    Provider Name        |    KATRINA ZELENKA FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/10/2014
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    117 E COLORADO BLVD STE 600 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91105-3712
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    Country              |    US
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    Telephone            |    844-735-1418
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    Fax                  |    844-749-4733
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Provider Business Mailing Address
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    Address Line         |    333 COMMERCE ST STE 700
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37201-1826
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    Country              |    US
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    Telephone            |    615-454-9850
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    364SW0102X
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    Taxonomy Name        |    Women's Health Clinical Nurse Specialist
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    License Number       |    SP013193
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95006676
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    License Number State |    CA
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