Zina Micchelle Floyd, WOCN

Individual provider Active NPI Enterostomal Therapy Registered Nurse · Tuskegee, AL

NPI 1629154331 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1629154331
Entity type
Individual (NPI type 1)
Primary specialty
Enterostomal Therapy Registered Nurse 163WE0900X
License
1-061242 (AL)
Practice address
2400 Hospital Rd
Tuskegee, AL 36083-5001
Phone
(334) 727-0550
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1-061242ALMDEnterostomal Therapy Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Enterostomal Therapy Registered Nurse 163WE0900X 1-061242 AL Yes

Addresses

Primary practice location

2400 Hospital Rd
Tuskegee, AL 36083-5001

Mailing address

5517 Rollingridge Dr
Columbus, GA 31907-4101
Phone (334) 727-0550

Other providers in Tuskegee, AL

All providers in Tuskegee, AL · Enterostomal Therapy Registered Nurse in Alabama

Sources for this page

Verify at the official NPI Registry.