Healthcare Provider Details

I. General information

NPI: 1205730769
Provider Name (Legal Business Name): Z&Z WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 PEPPERELL ST
ALEXANDRIA VA
22304-7368
US

IV. Provider business mailing address

114 PEPPERELL ST
ALEXANDRIA VA
22304-7368
US

V. Phone/Fax

Practice location:
  • Phone: 916-715-6864
  • Fax: 703-988-5365
Mailing address:
  • Phone: 916-715-6864
  • Fax: 703-988-5365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZAHIDA SAMAT
Title or Position: OWNER
Credential: MSN, AGNP-C
Phone: 916-715-6864