Provider Demographics
NPI:1952616708
Name:ZAMBLE, PATRICK (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:ZAMBLE
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6570 SAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8516
Mailing Address - Country:US
Mailing Address - Phone:614-827-5553
Mailing Address - Fax:
Practice Address - Street 1:6645 KODIAK DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8665
Practice Address - Country:US
Practice Address - Phone:614-827-5553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.345811163W00000X
OHAPRN.CNP.0030407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse