Healthcare Provider Details

I. General information

NPI: 1528658531
Provider Name (Legal Business Name): ZULFIA ANDERSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2021
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CIRCLE DR
SALINAS CA
93905-2150
US

IV. Provider business mailing address

169 S CHUGWATER DR
CODY WY
82414-9410
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-6237
  • Fax:
Mailing address:
  • Phone: 307-899-0227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number59704
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: