Provider Demographics
NPI:1699437830
Name:ZOOK, DAVID FREDERICK (FNP-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:FREDERICK
Last Name:ZOOK
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 SUN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:STEVENS
Mailing Address - State:PA
Mailing Address - Zip Code:17578-9769
Mailing Address - Country:US
Mailing Address - Phone:717-327-0325
Mailing Address - Fax:
Practice Address - Street 1:1297 SCHAEFFER RD
Practice Address - Street 2:
Practice Address - City:NEWMANSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17073-7023
Practice Address - Country:US
Practice Address - Phone:717-949-4138
Practice Address - Fax:717-949-4140
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily