Provider Demographics
NPI:1295563732
Name:GOBEAN, ZENEBWORK
Entity type:Individual
Prefix:
First Name:ZENEBWORK
Middle Name:
Last Name:GOBEAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 S LASALLE ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3701
Mailing Address - Country:US
Mailing Address - Phone:833-578-2763
Mailing Address - Fax:248-218-9996
Practice Address - Street 1:411 S LASALLE ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3701
Practice Address - Country:US
Practice Address - Phone:833-578-2763
Practice Address - Fax:248-218-9996
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5020647363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health