Provider Demographics
NPI:1487168514
Name:DURBIN, LUDWIKA ZENOBIA (NP-C, DNP)
Entity type:Individual
Prefix:
First Name:LUDWIKA
Middle Name:ZENOBIA
Last Name:DURBIN
Suffix:
Gender:F
Credentials:NP-C, DNP
Other - Prefix:
Other - First Name:LUDWIKA
Other - Middle Name:ZENOBIA
Other - Last Name:BLACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 FRIST CT # ED
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-3578
Mailing Address - Country:US
Mailing Address - Phone:706-494-2100
Mailing Address - Fax:
Practice Address - Street 1:100 FRIST CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909
Practice Address - Country:US
Practice Address - Phone:706-494-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-151191163W00000X
GARN210975363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse