Individual
MS. CAROL ELIZABETH ZOGRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1503 SANTA ROSA RD, SUITE 211, RICHMOND, VA 23229-5105
(804) 282-9100
(804) 282-3266
Mailing address
1394 MANAKIN RD, MANAKIN SABOT, VA 23103-2806
(804) 784-9847
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0015000375
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
09/01/2006
Last updated
07/30/2014
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