Healthcare Provider Details

I. General information

NPI: 1578489498
Provider Name (Legal Business Name): CHRISTINA M ZIADA LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CONNORS ST # 175
GARDNER MA
01440-2637
US

IV. Provider business mailing address

30 MOUNT PLEASANT AVE
LEOMINSTER MA
01453-5890
US

V. Phone/Fax

Practice location:
  • Phone: 978-878-8100
  • Fax:
Mailing address:
  • Phone: 774-245-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN1002278
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: