Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 0024045764 | VA |
NPI | 1063465979 |
---|---|
Provider Name | Mrs. Barbara Frango Zicafoose |
First Address | Fincastle, VA 24090-3066 |
Second Address | Salem, VA 24153-6404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 29/02/2008 |