DR. JILL MARIE ZDAN NMD PA-C NPI 1477064665

NPI Information

NPI: 1477064665
Provider Name: DR. JILL MARIE ZDAN, NMD, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9250 N 3RD ST STE 3025
PHOENIX, AZ
ZIP 85020
Phone: (602) 944-4628
Get Directions

DR. Jill Marie Zdan, NMD, PA-C is a medical physician assistant in Phoenix, AZ. DR. Jill Marie Zdan, NMD, PA-C NPI is 1477064665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9250 N 3RD ST STE 3025
PHOENIX, AZ
ZIP 85020-428
Phone: (602) 944-4628
Fax: (602) 944-2805

The NPI 1477064665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 10/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175F00000X	Naturopath		17-1652	ARIZONA	No
2	363AM0700X	Physician Assistant	Medical	9838	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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