Healthcare Provider Details

I. General information

NPI: 1326274465
Provider Name (Legal Business Name): ZAHIDA SAIRITUPA APRN-BC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 06/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 OLD SHERMAN TPKE SUITE 107
DANBURY CT
06810-4174
US

IV. Provider business mailing address

7 OLD SHERMAN TPKE SUITE 107
DANBURY CT
06810-4174
US

V. Phone/Fax

Practice location:
  • Phone: 914-204-2505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZAHIDA SAIRITUPA
Title or Position: APRN
Credential:
Phone: 914-204-2505