Provider Demographics
NPI:1275034753
Name:HEAD, ZUE ALEXIA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:ZUE
Middle Name:ALEXIA
Last Name:HEAD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:ZUE
Other - Middle Name:ALEXIA
Other - Last Name:PINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 746721
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6721
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:
Practice Address - Street 1:4327 S ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60632-2844
Practice Address - Country:US
Practice Address - Phone:773-242-2370
Practice Address - Fax:773-249-1250
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10915363LF0000X
IL209.027295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty