Provider Demographics
NPI:1932810264
Name:NOLTEMEYER, ZACHARIAH (DNP)
Entity Type:Individual
Prefix:DR
First Name:ZACHARIAH
Middle Name:
Last Name:NOLTEMEYER
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:DR
Other - First Name:ZACH
Other - Middle Name:
Other - Last Name:NOLTEMEYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP
Mailing Address - Street 1:135 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202
Mailing Address - Country:US
Mailing Address - Phone:843-735-9676
Mailing Address - Fax:
Practice Address - Street 1:135 W 10TH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202
Practice Address - Country:US
Practice Address - Phone:980-265-8869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017324363LP0808X
NC2022061621363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health