MEDICARE: CHRISTIANA N ZEISS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024166828	VA
2	363LW0102X	Women's Health Nurse Practitioner	0024166828	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063694354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIANA N ZEISS FNP

Provider Business Mailing Address
First Line	:	7130 GLEN FOREST DR
Second Line	:	SUITE 101
City	:	RICHMOND
State	:	VA
Zip	:	23226-3754
Country	:	US
Telephone Number	:	804-288-4084
Fax Number	:	804-282-8678

Provider Business Practice Location Address
First Line	:	13801 ST FRANCIS BLVD STE 100
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23114-3206
Country	:	US
Telephone Number	:	804-288-4084
Fax Number	:	804-545-9548

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	04/24/2018

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Directions to “ CHRISTIANA N ZEISS FNP” Practice Location

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