Provider Demographics
NPI:1578193330
Name:ZINN, MELISSA (APRN CNM)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:ZINN
Suffix:
Gender:F
Credentials:APRN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 400 BOX 5683
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96273-0057
Mailing Address - Country:US
Mailing Address - Phone:110-973-2806
Mailing Address - Fax:
Practice Address - Street 1:UNIT 15281
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96271-5281
Practice Address - Country:US
Practice Address - Phone:503-337-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144237367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife