Provider Demographics
NPI:1265585269
Name:PLAGENS, ZAHRA CHEBET (BHT, CNA)
Entity type:Individual
Prefix:MRS
First Name:ZAHRA
Middle Name:CHEBET
Last Name:PLAGENS
Suffix:
Gender:F
Credentials:BHT, CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 W WINDROSE DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-1859
Mailing Address - Country:US
Mailing Address - Phone:623-486-0721
Mailing Address - Fax:
Practice Address - Street 1:7445 W CHERYL DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-6722
Practice Address - Country:US
Practice Address - Phone:623-878-0463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2522177F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ907305Medicaid
AZBH2522OtherBEHAVIOR HEALTH LICSENSE
AZBH4229OtherARIZONA DEPT. OF HEALTH SERVICES BEHAVIORAL HEALTH