Provider Demographics
NPI:1821592676
Name:MOORE-ZIEROW, DEBRA GIULIANA (FNP-BC, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:GIULIANA
Last Name:MOORE-ZIEROW
Suffix:
Gender:F
Credentials:FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:MATHEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23109-0327
Mailing Address - Country:US
Mailing Address - Phone:804-725-3041
Mailing Address - Fax:804-725-3510
Practice Address - Street 1:75 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:MATHEWS
Practice Address - State:VA
Practice Address - Zip Code:23109
Practice Address - Country:US
Practice Address - Phone:804-725-3041
Practice Address - Fax:804-725-3510
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001135008163W00000X
VA0024165298363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2018073749OtherPMHNP CERTIFICATION : ANCC
VA0017144661OtherPRESCRIPTION AUTH.
VA0001135008OtherREGISTERED NURSE
VA0370398OtherFAMILY NURSE PRACTITIONER CERTIFICATION : ANCC
VA0024165298OtherNURSE PRACTITIONER
VA0024165298OtherNURSE PRACTITIONER