Healthcare Provider Details

I. General information

NPI: 1184364168
Provider Name (Legal Business Name): ZENOBIA ROBINSON SAMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4195 CEDAR PLAINS RD
SANDY HOOK VA
23153-2024
US

IV. Provider business mailing address

4195 CEDAR PLAINS RD
SANDY HOOK VA
23153-2024
US

V. Phone/Fax

Practice location:
  • Phone: 804-878-0131
  • Fax:
Mailing address:
  • Phone: 804-878-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: