Provider Demographics
NPI:1083755961
Name:ZIEGFELD, CONSTANCE LOUISE (RN)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:LOUISE
Last Name:ZIEGFELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E EAGER ST
Mailing Address - Street 2:RM 3001
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-5533
Mailing Address - Country:US
Mailing Address - Phone:410-955-8835
Mailing Address - Fax:410-955-1342
Practice Address - Street 1:1000 E EAGER ST
Practice Address - Street 2:RM 3001
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-5533
Practice Address - Country:US
Practice Address - Phone:410-955-8835
Practice Address - Fax:410-955-1342
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR054333163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse