Provider Demographics
NPI:1689989485
Name:ZUNIGA, ANN MARIE (RN, BSN, CNM)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:RN, BSN, CNM
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:CARDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:855 E ELGIN ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1686
Mailing Address - Country:US
Mailing Address - Phone:480-963-3920
Mailing Address - Fax:
Practice Address - Street 1:855 E ELGIN ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1686
Practice Address - Country:US
Practice Address - Phone:480-963-3920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP0222367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife