Healthcare Provider Details

I. General information

NPI: 1912837238
Provider Name (Legal Business Name): MIRJANA ZAKA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7611 MOVERN LN
WARRENTON VA
20187-4714
US

IV. Provider business mailing address

7611 MOVERN LN
WARRENTON VA
20187-4714
US

V. Phone/Fax

Practice location:
  • Phone: 703-539-9762
  • Fax:
Mailing address:
  • Phone: 703-539-9762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: