Healthcare Provider Details

I. General information

NPI: 1013328459
Provider Name (Legal Business Name): ANGELA RUDOLPH ZEARING CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S DOBSON RD STE 2
CHANDLER AZ
85224-5678
US

IV. Provider business mailing address

600 S DOBSON RD STE 2
CHANDLER AZ
85224-5678
US

V. Phone/Fax

Practice location:
  • Phone: 480-385-5055
  • Fax: 480-385-5054
Mailing address:
  • Phone: 480-385-5055
  • Fax: 480-385-5054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP5560
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN170252
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: