Provider Demographics
NPI:1700631520
Name:NOLAN, ZAMYAH
Entity Type:Individual
Prefix:
First Name:ZAMYAH
Middle Name:
Last Name:NOLAN
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 1:201 S GIBSON RD APT 2206
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-2662
Mailing Address - Country:US
Mailing Address - Phone:321-451-5493
Mailing Address - Fax:
Practice Address - Street 1:201 S GIBSON RD APT 2206
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-2662
Practice Address - Country:US
Practice Address - Phone:321-451-5493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant