1952816191 NPI number — MS. VIRGINIA BERNADETTE ZIELINSKI VIRGINIA

Table of content: MS. VIRGINIA BERNADETTE ZIELINSKI VIRGINIA (NPI 1952816191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952816191 NPI number — MS. VIRGINIA BERNADETTE ZIELINSKI VIRGINIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZIELINSKI
Provider First Name:
VIRGINIA
Provider Middle Name:
BERNADETTE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
VIRGINIA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZIELINSKI
Provider Other First Name:
VIRGINIA
Provider Other Middle Name:
BERNADETTE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RBT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1952816191
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2173 WARRENTON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREDERICKSBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22406-4825
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1411 PRINCESS ANNE STR
Provider Second Line Business Practice Location Address:
FREDERICKSBURG
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
22401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-887-5449
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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