Basic Information
| Provider Information | |||||||||
| NPI: | 1437262722 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZUNIGA | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | LYN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | FNP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HARRISON | ||||||||
| OtherFirstName: | HEATHER | ||||||||
| OtherMiddleName: | LYN | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 105 WATER RIDGE LN | ||||||||
| Address2: | |||||||||
| City: | STEDMAN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283919047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9109079197 | ||||||||
| FaxNumber: | 9109079271 | ||||||||
| Practice Location | |||||||||
| Address1: | JOEL HEALTH CLINIC | ||||||||
| Address2: | BLDG M-4861 LOGISTICS AVENUE | ||||||||
| City: | FORT BRAGG | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9109075635 | ||||||||
| FaxNumber: | 9109079271 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 1080365 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.