Provider Demographics
NPI:1992318182
Name:ZOVKO, DENISE MELINDA
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MELINDA
Last Name:ZOVKO
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 1:10017 GARDENSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WAITE HILL
Mailing Address - State:OH
Mailing Address - Zip Code:44094-6952
Mailing Address - Country:US
Mailing Address - Phone:216-288-0668
Mailing Address - Fax:
Practice Address - Street 1:10017 GARDENSIDE DR
Practice Address - Street 2:
Practice Address - City:WAITE HILL
Practice Address - State:OH
Practice Address - Zip Code:44094-6952
Practice Address - Country:US
Practice Address - Phone:216-288-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN360402364SH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty