Provider Demographics
NPI:1205524105
Name:ZIENTEK, SOPHIA JULIANNA (PA-C)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:JULIANNA
Last Name:ZIENTEK
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4705 UNIVERSITY DR BLDG 700
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3489
Mailing Address - Country:US
Mailing Address - Phone:919-237-1337
Mailing Address - Fax:919-237-1625
Practice Address - Street 1:3904 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6717
Practice Address - Country:US
Practice Address - Phone:910-530-1874
Practice Address - Fax:910-530-1875
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-11-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program