Provider Demographics
NPI:1265012033
Name:ZEIG, COREY (RN)
Entity Type:Individual
Prefix:
First Name:COREY
Middle Name:
Last Name:ZEIG
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20408 JUNE GRASS DR
Mailing Address - Street 2:
Mailing Address - City:BIG LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55309-5201
Mailing Address - Country:US
Mailing Address - Phone:612-801-3261
Mailing Address - Fax:
Practice Address - Street 1:246 ELM ST W
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:MN
Practice Address - Zip Code:55302-1123
Practice Address - Country:US
Practice Address - Phone:320-274-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1310058163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse