Doctor Name: | KEVEN TERESA ZIBELIN |
NPI Number: | 1134359516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 5004423 |
Business Practice Address: | 4811 Nc Highway 50 Maple Hill, NC - 284548153 |
Business Phone Number: | 9102596444 |
Business Fax Number: | 9102596659 |
Mailing Address: | 4811 Nc Hwy 50, MAPLE HILL |
State: | NC |
Postal Code: | 28454 |
Phone Number: | 9102596444 |
Fax Number: | 9102596659 |
NPI Enumeration Date: | 07/21/2009 |
NPI Last Update Date: | 05/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5004423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |