Provider Demographics
NPI:1023741022
Name:ZENKOVICH, HANNAH ELISE
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELISE
Last Name:ZENKOVICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180759 SPORTSMAN DR
Mailing Address - Street 2:
Mailing Address - City:BIRNAMWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:54414-5249
Mailing Address - Country:US
Mailing Address - Phone:715-219-4161
Mailing Address - Fax:
Practice Address - Street 1:180759 SPORTSMAN DR
Practice Address - Street 2:
Practice Address - City:BIRNAMWOOD
Practice Address - State:WI
Practice Address - Zip Code:54414-5249
Practice Address - Country:US
Practice Address - Phone:715-219-4161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-06
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant