Alexandra Deanna Zak
Nurse Practitioner - Pediatrics
155 Calle Portal Ste 700
Sierra Vista
, Arizona 85635-2973
Alexandra Deanna Zak
Nurse Practitioner - Pediatrics
155 Calle Portal Ste 700
Sierra Vista
, Arizona 85635-2973
(520) 364-4261
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Alexandra Deanna Zak
- 1205 N F Ave
- Douglas, AZ
- Zip : 85607-1920
- Fax : (520) 364-4261
- Phone : (520) 364-6852
Second Address
- Alexandra Deanna Zak
- 155 Calle Portal Ste 700
- Sierra Vista, AZ
- Zip : 85635-2973
- Fax : (520) 364-4261
- Phone : (520) 459-0203
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 228698 | AZ |
National Provider Identifier
| NPI | 1033763958 |
|---|---|
| Provider Name | Alexandra Deanna Zak |
| First Address | Douglas, AZ 85607-1920 |
| Second Address | Sierra Vista, AZ 85635-2973 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2019 |
| Last Update Date | 29/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.