Provider Demographics
NPI:1851352967
Name:ZINK, KAREN LEE (CNP MS)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LEE
Last Name:ZINK
Suffix:
Gender:F
Credentials:CNP MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15000
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81302-8901
Mailing Address - Country:US
Mailing Address - Phone:970-247-0042
Mailing Address - Fax:970-259-8837
Practice Address - Street 1:575 RIVERGATE LANE
Practice Address - Street 2:#210
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301
Practice Address - Country:US
Practice Address - Phone:970-247-0042
Practice Address - Fax:970-259-8837
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45299363LW0102X
NMR25168363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
COR18737Medicare UPIN
COCN7716Medicare PIN