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NPI Code Detail

MEDICARE: ISIS ZANAYIA HARGROVE BSN, RN

MEDICARE:   ISIS ZANAYIA HARGROVE  BSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1407789639
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISIS ZANAYIA HARGROVE BSN, RN
Provider Business Mailing Address
First Line : 472 WINTERGREEN AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06514-3240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 472 WINTERGREEN AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06514-3240
Country : US
Telephone Number : 475-201-2828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2026
Last Update Date : 06/06/2026

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Directions to “ ISIS ZANAYIA HARGROVE BSN, RN” Practice Location

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