Provider Demographics
NPI:1477178267
Name:MUSE, ZAKIYA (MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ZAKIYA
Middle Name:
Last Name:MUSE
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:ZAKIYA
Other - Middle Name:
Other - Last Name:WASHINGTON; COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP-BC
Mailing Address - Street 1:932 E DANBURY DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-5562
Mailing Address - Country:US
Mailing Address - Phone:678-485-2237
Mailing Address - Fax:
Practice Address - Street 1:932 E DANBURY DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-5562
Practice Address - Country:US
Practice Address - Phone:678-485-2237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP146034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily