Provider Demographics
NPI:1588759328
Name:ZELNIK, NANCY P (CNM)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:P
Last Name:ZELNIK
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 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:013-408-3393
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:7801 YORK RD STE 133
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-339-7447
Practice Address - Fax:410-339-7447
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171596367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD651081700Medicaid
MAAA66629OtherHARVARD PILGRIM
MA30343848Medicaid