Provider Demographics
NPI:1356037840
Name:ZEMAN, ALICE WALKER
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:WALKER
Last Name:ZEMAN
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 1:4005 GALANTIS DR APT 308D
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-0107
Mailing Address - Country:US
Mailing Address - Phone:843-289-9218
Mailing Address - Fax:
Practice Address - Street 1:4005 GALANTIS DR APT 308D
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-0107
Practice Address - Country:US
Practice Address - Phone:843-289-9218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2024-12-18
Deactivation Date:2024-11-19
Deactivation Code:
Reactivation Date:2024-12-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program