Individual
MS. PATRICIA MARIE ZAJAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
17705 HUTCHINS DR, SUITE101, MINNETONKA, MN 55345-4145
(952) 401-8300
Mailing address
17705 HUTCHINS DR, SUITE 101, MINNETONKA, MN 55345-4145
(954) 401-8300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R-01817222
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106273
UCARE
MN
01
—
1200856
MEDICA
MN
01
—
8D705ZA
BCBS
MN
01
—
CP9041014218
PREFERRED ONE
MN
Enumeration date
02/08/2006
Last updated
07/09/2007
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