Healthcare Provider Details

I. General information

NPI: 1730017583
Provider Name (Legal Business Name): ZOUREAT N/A KOBRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 N BERKELEY BLVD
GOLDSBORO NC
27534-3409
US

IV. Provider business mailing address

2112 8TH ST NW APT 616
WASHINGTON DC
20001-8209
US

V. Phone/Fax

Practice location:
  • Phone: 984-520-5667
  • Fax:
Mailing address:
  • Phone: 929-290-4890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: