MEDICARE: ADAM K ZAMORA AGNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	299495	AZ
2	163WW0000X	Wound Care Registered Nurse	299495	AZ
3	363L00000X	Nurse Practitioner	299495	AZ

General Provider Information

NPI Number	:	1548032006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM K ZAMORA AGNP-C

Provider Business Mailing Address
First Line	:	3273 E WILDHORSE DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85297-9301
Country	:	US
Telephone Number	:	480-235-7327
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 W BROWN RD STE 1011
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-3222
Country	:	US
Telephone Number	:	480-864-3671
Fax Number	:	480-520-7762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2023
Last Update Date	:	10/01/2025

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