Provider Demographics
NPI:1750119442
Name:ZIONE PSYCHIATRY AND COUNSELING
Entity type:Organization
Organization Name:ZIONE PSYCHIATRY AND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY NP
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUDZEKA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:815-570-9701
Mailing Address - Street 1:6070 WOODBRIDGE CRST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-9551
Mailing Address - Country:US
Mailing Address - Phone:815-570-9701
Mailing Address - Fax:
Practice Address - Street 1:1120 DEPOT LN SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-2550
Practice Address - Country:US
Practice Address - Phone:815-570-9701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1992390371OtherAPRN
IA1730514415OtherAPRN