Provider Demographics
NPI:1477860138
Name:ZIEMBA, ANNE H (MAED ELEMENTARY EDU)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:H
Last Name:ZIEMBA
Suffix:
Gender:F
Credentials:MAED ELEMENTARY EDU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 DILLARDS MILL RD
Mailing Address - Street 2:
Mailing Address - City:TYNER
Mailing Address - State:NC
Mailing Address - Zip Code:27980-9636
Mailing Address - Country:US
Mailing Address - Phone:252-221-4614
Mailing Address - Fax:
Practice Address - Street 1:322 DILLARDS MILL RD
Practice Address - Street 2:
Practice Address - City:TYNER
Practice Address - State:NC
Practice Address - Zip Code:27980-9636
Practice Address - Country:US
Practice Address - Phone:252-221-4614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27-3366520252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency