Provider Demographics
NPI:1669608329
Name:FEINGOLD, ZACHARY OLIVER (MSN, RN)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:OLIVER
Last Name:FEINGOLD
Suffix:
Gender:M
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 22ND ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-2505
Mailing Address - Country:US
Mailing Address - Phone:203-214-2995
Mailing Address - Fax:
Practice Address - Street 1:215 22ND ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90402-2505
Practice Address - Country:US
Practice Address - Phone:203-214-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPENDING363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care