MRS. DENEAN VIRGINIA EZELLA ZOZO (NPI# 1346514593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346514593 |
| Entity Type | Individual |
| Full Name | MRS. DENEAN VIRGINIA EZELLA ZOZO |
| Other Name | MISS DENEAN VIRGINIA EZELLA WALLS |
| Credential | WHNP-BC |
| Practice Address |
Raf Lakenheath 48 Mdg/sghc Unit 5115 Apo AE 09461-5115 |
| Practice Telephone | 3142268418 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2018-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 184447 | TN | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 0000184447 | TN | Nursing Service Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
104373819 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
17274 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1346514593 | 05 |
| Street Address |
RAF LAKENHEATH 48 MDG/SGHC UNIT 5115 |
| City | APO |
| State | AE |
| Zip Code | 09461-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266420 | Jessica M. Melchior | Occupational Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2005-09-27 |
| 1255964441 | Jessica Renee Aurelius | Physical Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2020-02-17 |
| 1679064547 | Victor Sun | Dentist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2018-05-25 |
| 1811485105 | Jessica Kathleen Smith | Student in an Organized Health Care Education/Training Program | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2018-04-23 |
| 1831691088 | Alexandra Marie Lacey | Dietitian, Registered | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2018-03-05 |
| 1538684808 | Muhammad Ali | Physical Therapist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461 | 2017-08-08 |
| 1043733496 | Colin Gartner | Dentist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2017-07-18 |
| 1285168740 | Daniel William Feather Stern | General Practice | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2017-04-11 |
| 1942754551 | Katelyn Zeringue | Pharmacist | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2016-08-11 |
| 1275984965 | Matthew Kirk Smith | Family Medicine | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1912394776 | Thomas Mark Bertagnoli | Pediatrics | Raf Lakenheath 48mdg, Unit 5115, Apo, AE 09461 | 2015-04-20 |
| 1376710780 | Katherine Jane Waggner | Pharmacist | Raf Lakenheath - Pharmacy, Apo, AE 09461 | 2008-05-14 |
| 1356539985 | Erin Campbell Bott | Physical Therapist | 48 Mdg Unit5210, Box 230, Apo, AE 09461 | 2007-10-09 |
| 1831249614 | Shannon Stewart Enold | Social Worker | 48 Mdg Sgohf, Unit 5210 Box 230, Apo, AE 09461 | 2007-01-12 |
| 1073674008 | Elizabeth Fort Copeland | Social Worker | Raf Lakenheath 48mdg/sghc, Unit 5115, Apo, AE 09461 | 2006-12-13 |
| 1104995109 | Robert Brown Woolley | Internal Medicine | Raf Lakenheath 48 Mdg/sghc Unit 5115, Apo, AE 09461 | 2006-11-06 |
| 1679592299 | Katheryn Willingham Ellis | Registered Nurse | 48 Mdg Sgobp, Unit 5210 Box 230, Apo, AE 09461 | 2006-07-18 |
| 1306885215 | Przemyslaw Konrad Niemczura | Dietitian, Registered | 48 Medical Group, Unit 5210, Apo, AE 09461 | 2006-06-06 |
| 1760450746 | Kathleen King Dobbs | Nurse Practitioner | 48 Mdg Unit 5210, Box 230, Apo, AE 09461 | 2006-03-08 |
| Find all providers in zip 09461 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.