Provider Demographics
NPI:1750505020
Name:ZERINGUE, ALINE CLARE (MSN, CNS)
Entity type:Individual
Prefix:
First Name:ALINE
Middle Name:CLARE
Last Name:ZERINGUE
Suffix:
Gender:F
Credentials:MSN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6303 FERN SPRING CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-2838
Mailing Address - Country:US
Mailing Address - Phone:512-791-6856
Mailing Address - Fax:512-371-0187
Practice Address - Street 1:807 STARK ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-1508
Practice Address - Country:US
Practice Address - Phone:512-452-2506
Practice Address - Fax:512-371-0187
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX664501364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
P76458Medicare UPIN