Healthcare Provider Details

I. General information

NPI: 1033965025
Provider Name (Legal Business Name): COURTNEY NAHIMA ZAHER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1437 N LOS ROBLES AVE
PASADENA CA
91104-2140
US

IV. Provider business mailing address

17922 NW 10TH ST
PEMBROKE PINES FL
33029-3118
US

V. Phone/Fax

Practice location:
  • Phone: 626-664-9719
  • Fax:
Mailing address:
  • Phone: 954-980-1045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: