Provider Demographics
NPI:1184364168
Name:SAMPSON, ZENOBIA ROBINSON
Entity type:Individual
Prefix:
First Name:ZENOBIA
Middle Name:ROBINSON
Last Name:SAMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4195 CEDAR PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:VA
Mailing Address - Zip Code:23153-2024
Mailing Address - Country:US
Mailing Address - Phone:804-878-0131
Mailing Address - Fax:
Practice Address - Street 1:4195 CEDAR PLAINS RD
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:VA
Practice Address - Zip Code:23153-2024
Practice Address - Country:US
Practice Address - Phone:804-878-0131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)