Provider Demographics
NPI:1275783524
Name:MOES DE ZAMORA, MARGARET MARY (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MARY
Last Name:MOES DE ZAMORA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:MARY
Other - Last Name:MOES DE ZAMORA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:7250 N 12TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5102
Mailing Address - Country:US
Mailing Address - Phone:602-870-0173
Mailing Address - Fax:
Practice Address - Street 1:7250 N 12TH PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5102
Practice Address - Country:US
Practice Address - Phone:602-870-0173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN082852163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool