# SHOSAMANA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942403076
- **Authorized official:** MS. GAIL SYLVIA ZIV PSY MHNP (PRESIDENT)
- **Authorized official phone:** (480) 325-0313

## Contact information

- **Practice address:** 3740 E SOUTHERN AVE STE 207, MESA, AZ 85206-2512
- **Practice address phone:** (480) 325-0313
- **Practice address fax:** (480) 324-0631
- **Mailing address:** 3740 E SOUTHERN AVE STE 207, MESA, AZ 85206-2512
- **Mailing address phone:** (480) 325-0313
- **Mailing address fax:** (480) 324-0631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN045016AP0033 | AZ | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 08/22/2020