MEDICARE: RACHEL ZENTNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	28606	NE

General Provider Information

NPI Number	:	1669813549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ZENTNER M.D.

Provider Business Mailing Address
First Line	:	835 S BURLINGTON AVE STE 108
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-6928
Country	:	US
Telephone Number	:	402-463-7711
Fax Number	:	402-461-5099

Provider Business Practice Location Address
First Line	:	835 S BURLINGTON AVE STE 108
Second Line	:
City	:	HASTINGS
State	:	NE
Zip	:	68901-6928
Country	:	US
Telephone Number	:	402-463-7711
Fax Number	:	402-461-5099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2013
Last Update Date	:	03/04/2022

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