Provider Demographics
NPI:1306440243
Name:ZAMBORSKY, KATHERINE LAURA
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LAURA
Last Name:ZAMBORSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8855 CHAUCER BLVD
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-1781
Mailing Address - Country:US
Mailing Address - Phone:440-785-5325
Mailing Address - Fax:
Practice Address - Street 1:8855 CHAUCER BLVD
Practice Address - Street 2:
Practice Address - City:BROADVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44147-1781
Practice Address - Country:US
Practice Address - Phone:440-785-5325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker