Healthcare Provider Details

I. General information

NPI: 1568085462
Provider Name (Legal Business Name): MORSELL ZAZI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 05/26/2020
Certification Date: 05/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 BRODER BLVD
DUBLIN CA
94568-3309
US

IV. Provider business mailing address

2026 EXCELSIOR CT
ANTIOCH CA
94531-9124
US

V. Phone/Fax

Practice location:
  • Phone: 925-551-6500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN95212805
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: