Individual
ZARA ZENI MAHAMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7818
Mailing address
50 N MEDICAL DR, SLC, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9039546-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9039546-4405
UTAH STATE LICENSURE
UT
Enumeration date
07/04/2019
Last updated
12/20/2021
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