Healthcare Provider Details

I. General information

NPI: 1164486015
Provider Name (Legal Business Name): LINDA MARIA ZIGROSSI PHD, RN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2006
Last Update Date: 08/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 N 3RD ST
PHOENIX AZ
85004-1471
US

IV. Provider business mailing address

1528 W AUGUSTA AVE
PHOENIX AZ
85021-7099
US

V. Phone/Fax

Practice location:
  • Phone: 602-462-1132
  • Fax: 602-462-1135
Mailing address:
  • Phone: 602-478-0885
  • Fax: 602-462-1135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN026987
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: