Provider Demographics
NPI:1114984861
Name:GRIGORYAN-SAINZ, ZHANNA (CRNP)
Entity Type:Individual
Prefix:
First Name:ZHANNA
Middle Name:
Last Name:GRIGORYAN-SAINZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ZHANNA
Other - Middle Name:E
Other - Last Name:GRIGORYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:MC A410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0858
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:
Practice Address - Street 1:3025 MARKET ST STE B
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4518
Practice Address - Country:US
Practice Address - Phone:717-691-1212
Practice Address - Fax:717-691-5354
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP0006689B363L00000X
PATP006689B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0077451920002Medicaid
P46316Medicare UPIN