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Individual

MARY CLARE ZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
970 W WOOSTER ST, BOWLING GREEN, OH 43402-2643
(419) 352-6890
(419) 353-2415
Mailing address
745 HASKINS RD STE B, BOWLING GREEN, OH 43402-1600
(419) 373-7607
(419) 353-7076

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.019560
OH
363LP0200X
Pediatric Nurse Practitioner
RN.384323
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0180146
OH
01
APRN.CNP.019560
NURSE PRACTITIONER-OH BOARD OF NURSING
OH
01
RN.384323
OHIO BOARD OF NURSING
OH
Enumeration date
07/14/2016
Last updated
04/11/2018
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