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Individual

MS. HEIDI L ZINK

Active
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Individual

MS. HEIDI L ZINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM MS

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
124354
CO
367A00000X
Advanced Practice Midwife
555
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11749
ACNM CERTIFICATION
05
50439251
CO
05
83900039
NM
01
84-1491843
PRACTICE TAX ID
01
MZ1355381
FEDERAL CONTROLLED SUBSTANCE
01
NM006984
NM BCBS PROVIDER ID
Enumeration date
04/20/2006
Last updated
12/15/2009
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