JENNIFER ZAZUETA


Address: 4126 E Nighthawk Way, Phoenix, AZ 85048
Phone: 4807208602

JENNIFER ZAZUETA (NPI# 1730550146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730550146
Entity Type Individual
Full Name JENNIFER ZAZUETA
Credential CSFA
Practice Address 4126 E Nighthawk Way
Phoenix
AZ 85048
Mailing Address P.o. Box 21449
Mesa
AZ 85277
Practice Telephone 4807208602
Practice Fax Number 4803650507
Mailing Telephone 4802214815
Mailing Fax Number 4809856247
Enumeration Date 2015-10-12
Last Update Date 2017-09-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
N 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
246ZC0007X Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 4126 E NIGHTHAWK WAY
City PHOENIX
State AZ
Zip Code 85048

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1699299560 Brianna Alean Kinsey Student in an Organized Health Care Education/Training Program 16214 S. 1st Street, Phoenix, AZ 85048 2017-08-01
1497278113 Teague Duncan Wilson Specialist/Technologist 3305 E Nighthawk Way, Phoenix, AZ 85048 2017-07-25
1235551904 Louise Marie Braunbeck Physical Therapy Assistant 16649 S 24th Place, Phoenix, AZ 85048 2014-01-14
1780026260 Erin Onacki Social Worker 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 2013-07-24
1649528720 Cody A Morales Social Worker 4654 E Mountain Vista Dr, Phoenix, AZ 85048 2012-08-21
1417168287 Lori Lynn Haas Social Worker 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 2007-05-24
1285847210 Jonne Amorette Housh Nurse Practitioner 4545 E Chandler Blvd., Phoenix, AZ 85048 2007-05-07
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831630375 Surgeassist, Pllc Physician Assistant 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 2017-03-16
1245695139 Alex Hall Physician Assistant 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 2015-12-21
1598047367 James P. Ennis II Physician Assistant 4023 Cloverland Drive, Phoenix, MD 21131-2139 2011-09-16
1023327251 Perry A. Brazel Physician Assistant 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 2010-10-06
1720305535 Arizona Surgeons Assistant PC Physician Assistant 4369 E Hartford Ave, Phoenix, AZ 85032-2298 2010-05-03
1023296381 On-call Surgical Assistants LLC Physician Assistant 5710 W Spur Dr, Phoenix, AZ 85083-1245 2008-02-08
1760527725 North Valley Surgical Assisting, Inc. Physician Assistant 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 2007-02-20
1548321136 Laura M Hanschka Physician Assistant 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 2006-12-13
1134148513 Corey L Thompson Physician Assistant 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 2006-07-18
1558392415 Michele Kasparian Physician Assistant Carl T. Hayden Va Medical Center, 650 E. Indian School Rd., Phoenix, AZ 85012 2006-07-06
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Competitor

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City PHOENIX
Zip Code 85048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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