Provider Demographics
NPI:1134561459
Name:ZELENT, ANNA CHRISTINE (MAT, ATC)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:CHRISTINE
Last Name:ZELENT
Suffix:
Gender:F
Credentials:MAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W3677 SCHILLER DR
Mailing Address - Street 2:
Mailing Address - City:MERRILL
Mailing Address - State:WI
Mailing Address - Zip Code:54452-9445
Mailing Address - Country:US
Mailing Address - Phone:715-218-7483
Mailing Address - Fax:
Practice Address - Street 1:W3677 SCHILLER DR
Practice Address - Street 2:
Practice Address - City:MERRILL
Practice Address - State:WI
Practice Address - Zip Code:54452-9445
Practice Address - Country:US
Practice Address - Phone:715-218-7483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-28
Last Update Date:2013-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program