| Zenplace Pllc | |
|
11 Fieldcrest Rd Arden NC 28704-8450 | |
| (239) 822-8499 | |
| Not Available |
| Full Name | Zenplace Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 Fieldcrest Rd, Arden, North Carolina |
| Authorized Official Name and Position | Gina Valo (OWNER) |
| Authorized Official Contact | 2398228499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zenplace Pllc 11 Fieldcrest Rd Arden NC 28704-8450 Ph: () - | Zenplace Pllc 11 Fieldcrest Rd Arden NC 28704-8450 Ph: (239) 822-8499 |
| NPI Number | 1902541444 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Medicare PECOS PAC ID | 4981087434 |
|---|---|
| Medicare Enrollment ID | O20220816000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902541444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Gina Valo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205343746 PECOS PAC ID: 0345504940 Enrollment ID: I20180508000572 |
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