Provider Demographics
NPI:1689254971
Name:ZELIVINSKI, RONIT (CNM)
Entity Type:Individual
Prefix:
First Name:RONIT
Middle Name:
Last Name:ZELIVINSKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 MACARTHUR BLVD NW APT 103
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2511
Mailing Address - Country:US
Mailing Address - Phone:240-565-7547
Mailing Address - Fax:
Practice Address - Street 1:5663 RAVENEL LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-2427
Practice Address - Country:US
Practice Address - Phone:240-565-7547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-11
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181256367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife