Organization
SHOSAMANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL SYLVIA ZIV PSY MHNP (PRESIDENT)
(480) 325-0313
Entity
Organization
Contact information
Practice address
3740 E SOUTHERN AVE STE 207, MESA, AZ 85206-2512
(480) 325-0313
(480) 324-0631
Mailing address
3740 E SOUTHERN AVE STE 207, MESA, AZ 85206-2512
(480) 325-0313
(480) 324-0631
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN045016AP0033
AZ
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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