Provider Demographics
NPI:1063079440
Name:ZAH, LAURA (DNP,FNP- BC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:ZAH
Suffix:
Gender:F
Credentials:DNP,FNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257-9776
Mailing Address - Country:US
Mailing Address - Phone:413-429-7970
Mailing Address - Fax:
Practice Address - Street 1:353 MILLER AVE
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:MA
Practice Address - Zip Code:01257-9776
Practice Address - Country:US
Practice Address - Phone:413-248-1295
Practice Address - Fax:413-248-1449
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN225765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily