Individual
CHRISTINE ANN ZIDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3033 KETTERING BLVD, STE 100, MORAINE, OH 45439-1962
(937) 293-2133
(937) 293-2161
Mailing address
1240 RAVELLE CT, BELLBROOK, BELLBROOK, OH 45305-8760
(937) 848-7372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP05623
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305777
—
OH
Enumeration date
11/29/2005
Last updated
05/06/2016
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