Healthcare Provider Details

I. General information

NPI: 1700768793
Provider Name (Legal Business Name): RACHEL JEANETTE ZIRKLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6251 E VIRGINIA BEACH BLVD
NORFOLK VA
23502-2800
US

IV. Provider business mailing address

837 SALTMEADOW BAY ARCH UNIT 401
VIRGINIA BEACH VA
23451-6395
US

V. Phone/Fax

Practice location:
  • Phone: 757-624-0000
  • Fax:
Mailing address:
  • Phone: 425-736-0320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86374883
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: