Provider Demographics
NPI:1659942209
Name:ZAIDI, AIZAH FATIMA (LVN)
Entity Type:Individual
Prefix:
First Name:AIZAH
Middle Name:FATIMA
Last Name:ZAIDI
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:782 BRAYDON PL UNIT 113
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3069
Mailing Address - Country:US
Mailing Address - Phone:909-551-6189
Mailing Address - Fax:
Practice Address - Street 1:2751 NAPPY VALLEY CORPORATE DRIVE, BLDG. B
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558
Practice Address - Country:US
Practice Address - Phone:707-210-2437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293266164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse