Provider Demographics
NPI:1710923362
Name:ZINK, MONICA JANE (DNP-FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:JANE
Last Name:ZINK
Suffix:
Gender:F
Credentials:DNP-FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 BACKLICK RD
Mailing Address - Street 2:#105
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151
Mailing Address - Country:US
Mailing Address - Phone:703-642-2273
Mailing Address - Fax:703-564-6544
Practice Address - Street 1:5501 BACKLICK RD
Practice Address - Street 2:#105
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151
Practice Address - Country:US
Practice Address - Phone:703-642-2273
Practice Address - Fax:703-564-6544
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO100394363LF0000X
VA0017139851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO13355066Medicaid
P49017Medicare UPIN
CO13355066Medicaid