Healthcare Provider Details

I. General information

NPI: 1568324267
Provider Name (Legal Business Name): WAADE AMY ZONEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5116 ARBORDALE WAY STE A 5116 ARBORDALE WAY SUITE A
MOUNT HOLLY NC
28120-0359
US

IV. Provider business mailing address

5116 ARBORDALE WAY STE A
MOUNT HOLLY NC
28120-0359
US

V. Phone/Fax

Practice location:
  • Phone: 704-658-5418
  • Fax: 704-831-5349
Mailing address:
  • Phone: 704-658-5418
  • Fax: 704-831-5349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: