Individual
GLORIA ZARWOLO BACCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S MAIN ST, REIDSVILLE, NC 27320-5033
(336) 951-6460
Mailing address
4303 WHITE OAK DR, GREENSBORO, NC 27405-8520
(336) 588-7144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
293406
NC
363LF0000X
Family Nurse Practitioner
Primary
5017211
NC
Other
Enumeration date
05/18/2022
Last updated
01/05/2026
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