Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP5560 | AZ |
NPI | 1013328459 |
---|---|
Provider Name | Angela Rudolph Zearing |
First Address | Chandler, AZ 85224-5204 |
Second Address | Chandler, AZ 85224-5204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2014 |
Last Update Date | 14/04/2016 |