Healthcare Provider Details

I. General information

NPI: 1306758867
Provider Name (Legal Business Name): ZOEY LOWE COLEMAN BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 TOWN CENTER PKWY
RESTON VA
20190-3298
US

IV. Provider business mailing address

5118 BEACHMERE CT
CHESTER VA
23831-6568
US

V. Phone/Fax

Practice location:
  • Phone: 804-243-1822
  • Fax:
Mailing address:
  • Phone: 804-243-1822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: