Organization
DESERT ZEN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CHARLES (ADMIN ASSIST/BILLING)
(928) 247-9277
Entity
Organization
Contact information
Practice address
11611 S FOOTHILLS BLVD STE F, YUMA, AZ 85367-5845
(282) 479-2779
Mailing address
11611 S FOOTHILLS BLVD STE F, YUMA, AZ 85367-5845
(928) 247-9277
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159894
—
AZ
Enumeration date
12/29/2023
Last updated
01/16/2025
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