MEDICARE: ANNA MARIA ZEBEAU NP-C

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	RN077142	GA

General Provider Information

NPI Number	:	1952846057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIA ZEBEAU NP-C

Provider Business Mailing Address
First Line	:	425 OAKWOOD DR
Second Line	:
City	:	CEDARTOWN
State	:	GA
Zip	:	30125-6311
Country	:	US
Telephone Number	:	678-918-6909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 NORTH MAIN STREET
Second Line	:
City	:	CEDARTOWN
State	:	GA
Zip	:	30125-6311
Country	:	US
Telephone Number	:	770-748-0076
Fax Number	:

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

Provider Enumeration Date	:	12/28/2016
Last Update Date	:	05/20/2021

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