Provider Demographics
NPI:1255152054
Name:ZINK, PAMELA MARIE
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:MARIE
Last Name:ZINK
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 1:4901 LOCHINVAR RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-7941
Mailing Address - Country:US
Mailing Address - Phone:832-250-5200
Mailing Address - Fax:
Practice Address - Street 1:4901 LOCHINVAR RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-7941
Practice Address - Country:US
Practice Address - Phone:832-250-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN149949491343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)