Provider Demographics
NPI:1174883730
Name:ZIELINSKI, MAYANNE YAEL (CPM, LM)
Entity type:Individual
Prefix:
First Name:MAYANNE
Middle Name:YAEL
Last Name:ZIELINSKI
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3148
Mailing Address - Country:US
Mailing Address - Phone:954-673-6703
Mailing Address - Fax:
Practice Address - Street 1:2801 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-3148
Practice Address - Country:US
Practice Address - Phone:954-673-6703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000075176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife