MEDICARE: MS. GAIL SYLVIA ZIV PSYNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN045016AP0033	AZ

General Provider Information

NPI Number	:	1841346186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GAIL SYLVIA ZIV PSYNP

Provider Business Mailing Address
First Line	:	2135 E UNIVERSITY DR STE 116
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-8335
Country	:	US
Telephone Number	:	480-325-0313
Fax Number	:	480-324-0631

Provider Business Practice Location Address
First Line	:	2135 E UNIVERSITY DR STE 116
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-8335
Country	:	US
Telephone Number	:	480-325-0313
Fax Number	:	480-324-0631

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

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	11/01/2016

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