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NPI Code Detail

MEDICARE: MEGAN ZOLTY

MEDICARE: MEGAN ZOLTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024173890VA

General Provider Information

NPI Number : 1194272302
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ZOLTY
Provider Business Mailing Address
First Line : 1000 BOULDERS PKWY STE 102
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-5515
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-622-0552
Provider Business Practice Location Address
First Line : 6600 W BROAD ST STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1710
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-622-0552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2016
Last Update Date : 05/20/2021

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Directions to “ MEGAN ZOLTY ” Practice Location

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