Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 335092 | NY |
NPI | 1003984675 |
---|---|
Provider Name | Guenevier Zinser |
First Address | San Diego, CA 92111-1504 |
Second Address | San Diego, CA 92111-1504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 30/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00362863 | (05) | NY |