Provider Demographics
NPI:1982835914
Name:NASSIRZADEH, ZINAT J (RN/NP)
Entity Type:Individual
Prefix:MS
First Name:ZINAT
Middle Name:J
Last Name:NASSIRZADEH
Suffix:
Gender:F
Credentials:RN/NP
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Other - Last Name:
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Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:BREAST CARE CENTER, SHAPIRO 5
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-2900
Mailing Address - Fax:617-667-9711
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:BREAST CARE CENTER, SHAPIRO 5
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-2900
Practice Address - Fax:617-667-9711
Is Sole Proprietor?:No
Enumeration Date:2009-08-08
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN245692363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health