Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 0024166828 | VA |
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0024166828 | VA |
NPI | 1063694354 |
---|---|
Provider Name | Christiana N Zeiss |
First Address | Richmond, VA 23226-3754 |
Second Address | Midlothian, VA 23114-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2007 |
Last Update Date | 24/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1063694354 | (05) | VA |