Provider Demographics
NPI:1225766553
Name:ZINK, LAURA BETH (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:BETH
Last Name:ZINK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 CENTENNIAL BLVD APT 437
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-2097
Mailing Address - Country:US
Mailing Address - Phone:419-345-1413
Mailing Address - Fax:
Practice Address - Street 1:5800 CENTENNIAL BLVD APT 437
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-2097
Practice Address - Country:US
Practice Address - Phone:419-345-1413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN255892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily