Provider Demographics
NPI:1467108910
Name:ZION GLOBAL HEALTH LLC
Entity Type:Organization
Organization Name:ZION GLOBAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:U
Authorized Official - Last Name:CHIPOLLINI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN FNP-BC PMHNP-BC
Authorized Official - Phone:479-856-2201
Mailing Address - Street 1:2851 LEONARD DRIVE
Mailing Address - Street 2:APT J506
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160
Mailing Address - Country:US
Mailing Address - Phone:479-856-2203
Mailing Address - Fax:
Practice Address - Street 1:2851 LEONARD DRIVE
Practice Address - Street 2:APT J506
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160
Practice Address - Country:US
Practice Address - Phone:479-856-2203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC14505XXXXXXXOtherFLORIDA DRIVER LICENSE
FL107910XXXMedicaid