Healthcare Provider Details

I. General information

NPI: 1538296652
Provider Name (Legal Business Name): ZUNI PUBLIC SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 TWIN BUTTES DRIVE
ZUNI NM
87327-0166
US

IV. Provider business mailing address

12 TWIN BUTTES DRIVE P.O. BOX A
ZUNI NM
87327-0166
US

V. Phone/Fax

Practice location:
  • Phone: 505-782-5511
  • Fax: 505-782-5870
Mailing address:
  • Phone: 505-782-5511
  • Fax: 505-782-5870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNM

VIII. Authorized Official

Name: MS. MAURA STONE
Title or Position: SPECIAL EDUCATION DIRECTOR
Credential:
Phone: 505-782-5511