Provider Demographics
NPI:1679394886
Name:ZIELINSKY, CHARISE (RN)
Entity type:Individual
Prefix:MRS
First Name:CHARISE
Middle Name:
Last Name:ZIELINSKY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N HURD RD
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48462-9720
Mailing Address - Country:US
Mailing Address - Phone:248-343-0340
Mailing Address - Fax:
Practice Address - Street 1:210 N HURD RD
Practice Address - Street 2:
Practice Address - City:ORTONVILLE
Practice Address - State:MI
Practice Address - Zip Code:48462-9720
Practice Address - Country:US
Practice Address - Phone:248-343-0340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704176156163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health