Provider Demographics
NPI:1871591438
Name:ZINKE, BELINDA G (APN)
Entity type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:G
Last Name:ZINKE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1788
Mailing Address - Street 2:
Mailing Address - City:MENA
Mailing Address - State:AR
Mailing Address - Zip Code:71953-1781
Mailing Address - Country:US
Mailing Address - Phone:479-394-5068
Mailing Address - Fax:479-394-5626
Practice Address - Street 1:1210 DEQUEEN ST
Practice Address - Street 2:
Practice Address - City:MENA
Practice Address - State:AR
Practice Address - Zip Code:71953-4132
Practice Address - Country:US
Practice Address - Phone:479-394-5068
Practice Address - Fax:479-394-5626
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAPN1300363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR134754758Medicaid
AR5U119Medicare PIN
ARS67006Medicare UPIN