Individual
MS. BETTY ROSEANNE ZIVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
6233 GARRETSON ST, BURKE, VA 22015-3521
(703) 220-3307
Mailing address
6233 GARRETSON ST, BURKE, VA 22015-3521
(703) 440-8437
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0001104172
VA
163WD0400X
Diabetes Educator Registered Nurse
RN1028194
DC
Other
Enumeration date
10/18/2011
Last updated
12/16/2015
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