Basic Information
| Provider Information | |||||||||
| NPI: | 1003154071 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZENO | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 CARLSON PKWY N | ||||||||
| Address2: | STE. 401 | ||||||||
| City: | PLYMOUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554474466 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8554826237 | ||||||||
| FaxNumber: | 8557632748 | ||||||||
| Practice Location | |||||||||
| Address1: | 8550 UNITED PLAZA BLVD | ||||||||
| Address2: | SUITE 702 | ||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708092256 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257549539 | ||||||||
| FaxNumber: | 8557632748 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2013 | ||||||||
| LastUpdateDate: | 01/24/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | RN098649 | LA | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.