Healthcare Provider Details

I. General information

NPI: 1841843992
Provider Name (Legal Business Name): ANGELA J. ZARRELLA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 09/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 CANE CREEK RD
FLETCHER NC
28732-7423
US

IV. Provider business mailing address

PO BOX 100136
COLUMBIA SC
29202-3136
US

V. Phone/Fax

Practice location:
  • Phone: 828-628-8250
  • Fax: 828-628-8633
Mailing address:
  • Phone: 828-257-4725
  • Fax: 828-232-2953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5012219
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: