Provider Demographics
NPI:1801113774
Name:ZEMEN, DONNA MARIE (CFNP)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIE
Last Name:ZEMEN
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1040 SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-7241
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-1479
Practice Address - Street 1:5530 HOHMAN AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-1935
Practice Address - Country:US
Practice Address - Phone:219-933-2018
Practice Address - Fax:219-933-2647
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001151A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201108340Medicaid