Provider Demographics
NPI:1003607599
Name:DURRAH-MAKUPSON, ZAYNA
Entity type:Individual
Prefix:
First Name:ZAYNA
Middle Name:
Last Name:DURRAH-MAKUPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14006 BECKET RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2823
Mailing Address - Country:US
Mailing Address - Phone:216-832-6417
Mailing Address - Fax:
Practice Address - Street 1:19015 VAN AKEN BLVD APT 314
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-3551
Practice Address - Country:US
Practice Address - Phone:216-751-5773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker