Healthcare Provider Details

I. General information

NPI: 1497110498
Provider Name (Legal Business Name): CHELSEA ZURL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2015
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3821 ED DR
RALEIGH NC
27612-8038
US

IV. Provider business mailing address

1616 HERITAGE LINKS DR
WAKE FOREST NC
27587-3821
US

V. Phone/Fax

Practice location:
  • Phone: 919-758-8677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number0010-06185
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-06185
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: