Organization
ZZIWA ADULT CLINICAL PRACTICE PC
Active
Other names
Z-Adult Clinical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRYNE ZZIWA-KABENGE MSN, CRNP (DIRECTOR)
(443) 522-0383
Entity
Organization
Contact information
Practice address
4404 WYNFIELD DR, OWINGS MILLS, MD 21117-7141
(443) 522-0383
(443) 836-2415
Mailing address
4404 WYNFIELD DR, OWINGS MILLS, MD 21117-7141
(443) 522-0383
(443) 836-2415
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R133308
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049292200
—
MD
01
—
231502YXU
MEDICARE
MD
Enumeration date
09/08/2015
Last updated
08/31/2023
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