Provider Demographics
NPI:1306828140
Name:ZENG KWASNY, BARBARA (NP-C)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:ZENG KWASNY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 COVE MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-2407
Mailing Address - Country:US
Mailing Address - Phone:708-895-8718
Mailing Address - Fax:708-474-9206
Practice Address - Street 1:3800 W 203RD ST
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1184
Practice Address - Country:US
Practice Address - Phone:708-679-2035
Practice Address - Fax:708-679-2039
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-005558(41-307571363LF0000X
KY4447P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily