Provider Demographics
NPI:1952373987
Name:GIORDANO, CATHERINE ZILINSKAS (APRN)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ZILINSKAS
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:ZILINSKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-324-6450
Mailing Address - Fax:
Practice Address - Street 1:8288 S BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-5262
Practice Address - Country:US
Practice Address - Phone:903-606-7060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002185208000000X
TX788827363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX752616977027OtherTRICARE
TX287120402Medicaid
TX752616977118OtherTRICARE
TX287120401Medicaid
CT00423900Medicaid
TX855N91OtherBCBS
TX886N34OtherBCBS
TXTXB143620Medicare Oscar/Certification
TXTXB137599Medicare Oscar/Certification
TXP00986440Medicare PIN