Provider Demographics
NPI:1194713966
Name:ZAK, MARGARET LYNN (CNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LYNN
Last Name:ZAK
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 WARRENSVILLE CENTER RD
Mailing Address - Street 2:STE 403
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6768
Mailing Address - Country:US
Mailing Address - Phone:216-921-1600
Mailing Address - Fax:216-491-0707
Practice Address - Street 1:2760 SOM CENTER RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9111
Practice Address - Country:US
Practice Address - Phone:440-306-2358
Practice Address - Fax:440-306-2359
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP06973363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2399828Medicaid
P82931Medicare UPIN
OH2399828Medicaid