Mrs Mimi Marie Zugel, FNP | |
7200 Heritage Village Plz, Suite 101, Gainesville, VA 20155-3069 | |
(571) 261-4165 | |
Not Available |
Full Name | Mrs Mimi Marie Zugel |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7200 Heritage Village Plz, Gainesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548341530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024132769 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mimi Marie Zugel, FNP 7200 Heritage Village Plz, Suite 101, Gainesville, VA 20155-3069 Ph: (571) 261-4165 | Mrs Mimi Marie Zugel, FNP 7200 Heritage Village Plz, Suite 101, Gainesville, VA 20155-3069 Ph: (571) 261-4165 |
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