MEDICARE: MS. ZAMAIYA ZANAE LOWE RN

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	163W00000X	Registered Nurse	1-178987	AL

General Provider Information

NPI Number	:	1649938986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ZAMAIYA ZANAE LOWE RN

Provider Business Mailing Address
First Line	:	140 ROYAL DR APT C5
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-3113
Country	:	US
Telephone Number	:	256-457-9559
Fax Number	:

Provider Business Practice Location Address
First Line	:	4831 SPARKMAN DR NW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-3948
Country	:	US
Telephone Number	:	256-536-2231
Fax Number	:

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

Provider Enumeration Date	:	12/03/2021
Last Update Date	:	12/03/2021

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