Healthcare Provider Details

I. General information

NPI: 1477390631
Provider Name (Legal Business Name): SARAH ANNE-MARIE ZUNKER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2024
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 E SOUTHERN AVE STE F3
TEMPE AZ
85282-5421
US

IV. Provider business mailing address

1050 E SOUTHERN AVE STE F3
TEMPE AZ
85282-5421
US

V. Phone/Fax

Practice location:
  • Phone: 480-266-4122
  • Fax: 480-563-6950
Mailing address:
  • Phone: 480-266-4122
  • Fax: 480-563-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: