Provider Demographics
NPI:1326418997
Name:ZULU, SIKANGEZILE (RN)
Entity Type:Individual
Prefix:
First Name:SIKANGEZILE
Middle Name:
Last Name:ZULU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SIKANGEZILE
Other - Middle Name:
Other - Last Name:ZULU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, NP-C
Mailing Address - Street 1:907 SWEETBAY COURT
Mailing Address - Street 2:HOME
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281
Mailing Address - Country:US
Mailing Address - Phone:678-984-4642
Mailing Address - Fax:770-474-2376
Practice Address - Street 1:2505 CREEL RD
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-4886
Practice Address - Country:US
Practice Address - Phone:678-984-4642
Practice Address - Fax:770-474-4376
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-25
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF03170266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily