Provider Demographics
NPI:1871533471
Name:ZIMA, JANICE V (FNP)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:V
Last Name:ZIMA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N GEORGE MASON DR
Mailing Address - Street 2:WOUND CARE CENTER
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3610
Mailing Address - Country:US
Mailing Address - Phone:703-558-6600
Mailing Address - Fax:703-558-6625
Practice Address - Street 1:1701 N GEORGE MASON DR
Practice Address - Street 2:WOUND CARE CENTER
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3610
Practice Address - Country:US
Practice Address - Phone:703-558-6600
Practice Address - Fax:703-558-6625
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA002416670363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024166670Medicaid
VA019159E14Medicare ID - Type Unspecified
VA0024166670Medicaid