Provider Demographics
NPI:1336168343
Name:ZEIMANTZ, MELINDA ANN (NP)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANN
Last Name:ZEIMANTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W CONTINENTAL RD
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614
Mailing Address - Country:US
Mailing Address - Phone:520-393-0898
Mailing Address - Fax:520-393-1750
Practice Address - Street 1:450 W CONTINENTAL RD
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614
Practice Address - Country:US
Practice Address - Phone:520-393-0898
Practice Address - Fax:520-393-1750
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN131406163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q63229Medicare UPIN