Healthcare Provider Details

I. General information

NPI: 1790204188
Provider Name (Legal Business Name): SIGNEY CAMERON ZAVINSKY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2017
Last Update Date: 04/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 OLD DENBIGH BLVD STE 1020A
NEWPORT NEWS VA
23602-2017
US

IV. Provider business mailing address

6300 HACKNEY PL
NORTH CHESTERFIELD VA
23234-4514
US

V. Phone/Fax

Practice location:
  • Phone: 757-875-2009
  • Fax:
Mailing address:
  • Phone: 804-832-0354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024175361
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: