Provider Demographics
NPI:1265796379
Name:ZINGER, ELAINE F (CRNA)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:F
Last Name:ZINGER
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:15190 COMMUNITY RD
Mailing Address - Street 2:SUITE 230A
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-3485
Mailing Address - Country:US
Mailing Address - Phone:228-831-0204
Mailing Address - Fax:228-831-1868
Practice Address - Street 1:255 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-2218
Practice Address - Country:US
Practice Address - Phone:800-516-5315
Practice Address - Fax:517-787-7365
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2013-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAAP06918367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered