Provider Demographics
NPI:1497381552
Name:ZINCK, MARIE THERESE
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:THERESE
Last Name:ZINCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 ELMCREST DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4107
Mailing Address - Country:US
Mailing Address - Phone:775-771-9654
Mailing Address - Fax:
Practice Address - Street 1:1699 ELMCREST DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4107
Practice Address - Country:US
Practice Address - Phone:775-771-9654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide