Provider Demographics
NPI:1285146134
Name:ZIELINSKI, LAUREN (CNM)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BEAR CLAW LN
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-9183
Mailing Address - Country:US
Mailing Address - Phone:214-500-0174
Mailing Address - Fax:
Practice Address - Street 1:1622 GALISTEO ST STE 200
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4774
Practice Address - Country:US
Practice Address - Phone:214-500-0174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO176B00000X
NM764367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife