Doctor Name: | MRS. MARY LYNN ZAZZI FOSTER |
NPI Number: | 1467420349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0024164144 |
Business Practice Address: | 112 Beech St Suite 1 Gate City, VA - 242513638 |
Business Phone Number: | 2763861312 |
Business Fax Number: | 2763862116 |
Mailing Address: | 314 Holston Ter, WEBER CITY |
State: | VA |
Postal Code: | 242906905 |
Phone Number: | 2763861312 |
Fax Number: | 2763862116 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024164144 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |