Provider Demographics
NPI:1205600251
Name:ZEAK, TANGINA (RN)
Entity type:Individual
Prefix:MS
First Name:TANGINA
Middle Name:
Last Name:ZEAK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 YORK HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:17345-9776
Mailing Address - Country:US
Mailing Address - Phone:717-368-7868
Mailing Address - Fax:
Practice Address - Street 1:2605 YORK HAVEN RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:PA
Practice Address - Zip Code:17345-9776
Practice Address - Country:US
Practice Address - Phone:717-368-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN576452163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse