Provider Demographics
NPI:1982592739
Name:MAMUR, ZACHARIA DENG MAKUACH
Entity type:Individual
Prefix:
First Name:ZACHARIA
Middle Name:DENG MAKUACH
Last Name:MAMUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 SILVER ST APT 217
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-5057
Mailing Address - Country:US
Mailing Address - Phone:603-219-8889
Mailing Address - Fax:603-219-8889
Practice Address - Street 1:470 SILVER ST APT 217
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-5057
Practice Address - Country:US
Practice Address - Phone:603-219-8889
Practice Address - Fax:603-219-8889
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH979323163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care