Provider Demographics
NPI:1952652513
Name:ZWICKER, MARGARET LENN (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LENN
Last Name:ZWICKER
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:MRS
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:ZWICKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:DEPT. OF OTOLARYNGOLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-628-4368
Practice Address - Fax:804-828-8299
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170387363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health