Healthcare Provider Details

I. General information

NPI: 1245171149
Provider Name (Legal Business Name): NOUR ZANGANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11042 N 24TH AVE STE 102&103
PHOENIX AZ
85029-4777
US

IV. Provider business mailing address

8121 W SANDS RD
GLENDALE AZ
85303-0008
US

V. Phone/Fax

Practice location:
  • Phone: 623-688-6103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: