Basic Information
| Provider Information | |||||||||
| NPI: | 1235142928 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZANZINGER | ||||||||
| FirstName: | DAYLE | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1020 TERRACE DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MARION | ||||||||
| State: | VA | ||||||||
| PostalCode: | 243544392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2767837167 | ||||||||
| FaxNumber: | 2767836432 | ||||||||
| Practice Location | |||||||||
| Address1: | 1020 TERRACE DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MARION | ||||||||
| State: | VA | ||||||||
| PostalCode: | 243544392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2767837167 | ||||||||
| FaxNumber: | 2767836432 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2006 | ||||||||
| LastUpdateDate: | 10/26/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024164016 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | P58272 | 01 | VA | TODAYS OPTIONS | OTHER | 240909 | 01 | VA | ANTHEM BCBS | OTHER |