Provider Demographics
NPI:1497448203
Name:FREEMAN, ZINNERIAS KYLE (MSN, RN)
Entity type:Individual
Prefix:
First Name:ZINNERIAS
Middle Name:KYLE
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:MS
Other - First Name:ZINNERIAS
Other - Middle Name:KYLE
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:310 PAXFORD DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-7215
Mailing Address - Country:US
Mailing Address - Phone:757-334-2416
Mailing Address - Fax:
Practice Address - Street 1:310 PAXFORD DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-7215
Practice Address - Country:US
Practice Address - Phone:757-334-2416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach