AUDRA LYNN ZACHMAN


Address: 16611 S 40th St, Suite 180, Phoenix, AZ 85048
Phone: 4807852100

AUDRA LYNN ZACHMAN (NPI# 1346682119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346682119
Entity Type Individual
Full Name AUDRA LYNN ZACHMAN
Credential DNP, WHNP-BC
Practice Address 16611 S 40th St
Suite 180
Phoenix
AZ 85048
Mailing Address 2545 W Frye Rd
Suite 9
Chandler
AZ 85224-6273
Practice Telephone 4807852100
Practice Fax Number 4807852111
Mailing Telephone 4805054258
Mailing Fax Number 4802758346
Enumeration Date 2013-07-22
Last Update Date 2018-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
AP5109 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 878702 05
DEA MZ2945511 01

Office Location

Street Address 16611 S 40TH ST
SUITE 180
City PHOENIX
State AZ
Zip Code 85048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851373971 Khristina M Ramirez Specialist 16611 S 40th St, Suite 160, Phoenix, AZ 85048-0562 2005-11-15
1831557321 Arizona Allergy and Asthma Specialists P C Clinic/Center 16611 S 40th St, Suite 170, Phoenix, AZ 85048-0562 2016-01-29
1972996841 Courtney R Domingo Nurse Practitioner 16611 S 40th St, Suite 180, Phoenix, AZ 85048-0562 2015-03-16
1295134914 Brian Bartow Physical Therapist 16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562 2014-08-19
1033532692 Tara N. Becher Physician Assistant 16611 S 40th St, Suite 100, Phoenix, AZ 85048 2014-01-31
1760769020 Kaylene M Christensen Physical Therapist 16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562 2011-11-14
1871872267 Peter G Gorman Physical Therapist 16611 S 40th St, Ste 130, Phoenix, AZ 85048-0562 2011-08-16
1730467960 Jenna Leigh Salber Physical Therapist 16611 S 40th St, Ste. 130, Phoenix, AZ 85048-0562 2011-07-21
1639485105 Larissa E Shaps Physical Therapist 16611 S 40th St, Suite 130, Phoenix, AZ 85048-0562 2010-08-23
1225359946 Holly L Campbell Nurse Practitioner 16611 S 40th St, Suite 180, Phoenix, AZ 85048 2010-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164062618 Smile Dentistry Pllc Dentist 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 2020-01-13
1558924415 Ahwatukee Orthodontic Associates Inc Dentist 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 2019-04-17
1699299560 Brianna Alean Kinsey Student in an Organized Health Care Education/Training Program 16214 S. 1st Street, Phoenix, AZ 85048 2017-08-01
1497278113 Teague Duncan Wilson Specialist/Technologist 3305 E Nighthawk Way, Phoenix, AZ 85048 2017-07-25
1730550146 Jennifer Zazueta Physician Assistant 4126 E Nighthawk Way, Phoenix, AZ 85048 2015-10-12
1235551904 Louise Marie Braunbeck Physical Therapy Assistant 16649 S 24th Place, Phoenix, AZ 85048 2014-01-14
1780026260 Erin Onacki Social Worker 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 2013-07-24
1649528720 Cody A Morales Social Worker 4654 E Mountain Vista Dr, Phoenix, AZ 85048 2012-08-21
1417168287 Lori Lynn Haas Social Worker 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 2007-05-24
1285847210 Jonne Amorette Housh Nurse Practitioner 4545 E Chandler Blvd., Phoenix, AZ 85048 2007-05-07
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962018952 Marlene Hildegard Zeller Nurse Practitioner 16630 S 38th Pl, Phoenix, AZ 85048-7944 2020-09-16
1962034355 Jessica Lynn Contreras Nurse Practitioner 6704 N 10th Ave, Phoenix, AZ 85013-1008 2020-02-04
1437442076 Mary Franice Dunn Nurse Practitioner 2222 E. Highland Ave Ste. 220, Kronos Longevity Research Institute, Phoenix, AZ 85016-4876 2011-05-16
1831418763 Pamela Barbour Peat Nurse Practitioner 3125 N 32nd St Ste 200, Phoenix, AZ 85018-6218 2010-05-17
1851505887 Jennifer Spiser Woodruff Nurse Practitioner 9930 W Indian School Rd, Phoenix, AZ 85037-5902 2007-05-09
1679793780 Sherry Lee Gorslin Nurse Practitioner 9303 N 7th St, Ste 4, Phoenix, AZ 85020 2007-04-30
1497876056 Bonnie Rose Hare Nurse Practitioner 1661 E. Camelback Road, Ste 160, Phoenix, AZ 85016 2007-04-02
1750468138 Traci Rae Aldridge Nurse Practitioner 11209 N. Tatum Blvd, Suite 255, Phoenix, AZ 85028 2006-11-01
1538190269 Debra Laseter Nurse Practitioner 2255 N 44th St, Suite #200, Phoenix, AZ 85008-3293 2006-07-05
1588665061 Joyce Morgan Nurse Practitioner 6601 W Thomas Rd, Phoenix, AZ 85033-5700 2005-08-09
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Competitor

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City PHOENIX
Zip Code 85048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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