Zuri Blizzard
Individual provider Active NPI Counselor · Dinwiddie, VA
NPI 1104332832 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1104332832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454 - Phone
- (804) 591-5836
- NPI assigned
- Dec 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454
Mailing address
5541 Pony Farm Dr
Richmond, VA 23227-3182
Phone (804) 591-8536
Other practice location 1
12318 Boydton Plank Rd
Dinwiddie, VA 23841-2454
Phone (804) 591-5836
Other names
- Zuri Watson
Other providers in Dinwiddie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.