Provider Demographics
NPI:1336958933
Name:PIPKIN, ZACHARY (RN)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:
Last Name:PIPKIN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12018 W BROAD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7796
Mailing Address - Country:US
Mailing Address - Phone:804-287-2022
Mailing Address - Fax:
Practice Address - Street 1:12018 W BROAD ST STE 102
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-7796
Practice Address - Country:US
Practice Address - Phone:804-287-2022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC325205163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery