Provider Demographics
NPI:1952945859
Name:ZORBACH, BIANCA LEANN (DNP, CRNP)
Entity Type:Individual
Prefix:DR
First Name:BIANCA
Middle Name:LEANN
Last Name:ZORBACH
Suffix:
Gender:F
Credentials:DNP, CRNP
Other - Prefix:MS
Other - First Name:BIANCA
Other - Middle Name:LEANN
Other - Last Name:CORNELIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:577 RICH MAR ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-9479
Mailing Address - Country:US
Mailing Address - Phone:443-244-5144
Mailing Address - Fax:
Practice Address - Street 1:515 FAIRMOUNT AVE STE 500
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8502
Practice Address - Country:US
Practice Address - Phone:410-494-1662
Practice Address - Fax:410-494-1718
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR202311363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner