Provider Demographics
NPI:1245716364
Name:MOHINDRA, ZARAH ANNE (CNM, WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ZARAH
Middle Name:ANNE
Last Name:MOHINDRA
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:MS
Other - First Name:ZARAH
Other - Middle Name:ANNE
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, WHNP-BC
Mailing Address - Street 1:4212 N. 16TH STREET
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-263-1544
Mailing Address - Fax:
Practice Address - Street 1:4212 N. 16TH STREET
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-263-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10982367A00000X
AZAP11043363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife