Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024173399 | VA |
NPI | 1013378124 |
---|---|
Provider Name | Gillian Zeile |
First Address | Leesburg, VA 20176-8278 |
Second Address | Leesburg, VA 20176-8278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2016 |
Last Update Date | 24/05/2021 |