Provider Demographics
NPI:1649391178
Name:ANDREWS, ZAKIYYAH H (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ZAKIYYAH
Middle Name:H
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 CHESTNUT LN
Mailing Address - Street 2:J411
Mailing Address - City:RICHMOND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1041
Mailing Address - Country:US
Mailing Address - Phone:216-731-7312
Mailing Address - Fax:216-731-7312
Practice Address - Street 1:135 CHESTNUT LN
Practice Address - Street 2:J411
Practice Address - City:RICHMOND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1041
Practice Address - Country:US
Practice Address - Phone:216-731-7312
Practice Address - Fax:216-731-7312
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-100301164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2692180Medicaid