Healthcare Provider Details

I. General information

NPI: 1457983645
Provider Name (Legal Business Name): SARAH ZAVALA DFNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 09/12/2022
Certification Date: 09/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 W CHANDLER BLVD STE D2
CHANDLER AZ
85224-6201
US

IV. Provider business mailing address

1900 W CHANDLER BLVD STE 15-255
CHANDLER AZ
85224-6213
US

V. Phone/Fax

Practice location:
  • Phone: 480-745-8577
  • Fax: 480-745-8677
Mailing address:
  • Phone: 480-745-8577
  • Fax: 480-745-8677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN164182
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: