Provider Demographics
NPI:1023575297
Name:CHANG, ZA (APRN, CRNA)
Entity type:Individual
Prefix:
First Name:ZA
Middle Name:
Last Name:CHANG
Suffix:
Gender:F
Credentials:APRN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 S SANTA ANNA ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-7906
Mailing Address - Country:US
Mailing Address - Phone:612-388-3056
Mailing Address - Fax:
Practice Address - Street 1:2621 S SANTA ANNA ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7906
Practice Address - Country:US
Practice Address - Phone:612-388-3056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY747977163W00000X
WI1108912367500000X
MN2557367500000X
AZ314368207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No163W00000XNursing Service ProvidersRegistered Nurse
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered