Provider Demographics
NPI:1992366199
Name:ZEHNDER, DYNA FAY (APRN)
Entity Type:Individual
Prefix:
First Name:DYNA
Middle Name:FAY
Last Name:ZEHNDER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DYNA
Other - Middle Name:FAY
Other - Last Name:ZEHNDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:842 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2149
Mailing Address - Country:US
Mailing Address - Phone:502-584-2473
Mailing Address - Fax:502-583-4302
Practice Address - Street 1:842 S 7TH ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2149
Practice Address - Country:US
Practice Address - Phone:502-584-2473
Practice Address - Fax:502-583-4302
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily