Provider Demographics
NPI:1194323899
Name:ZINK, ELIZABETH K (MS, RN, CCNS, CNRN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:K
Last Name:ZINK
Suffix:
Gender:F
Credentials:MS, RN, CCNS, CNRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4628 AUTUMN WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6771
Mailing Address - Country:US
Mailing Address - Phone:410-502-5726
Mailing Address - Fax:
Practice Address - Street 1:1800 ORLEANS ST RM 3074
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0010
Practice Address - Country:US
Practice Address - Phone:410-955-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR133669364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine