Basic Information
| Provider Information | |||||||||
| NPI: | 1750758405 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ZINN | ||||||||
| FirstName: | AMY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9615 E 148TH ST STE 1 | ||||||||
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| City: | NOBLESVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460604371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175870500 | ||||||||
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| Practice Location | |||||||||
| Address1: | 697 PRO-MED LN | ||||||||
| Address2: | |||||||||
| City: | CARMEL | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460325323 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175741254 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2015 | ||||||||
| LastUpdateDate: | 03/11/2018 | ||||||||
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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 | 363LP0808X | 28178219A | IN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.