Provider Demographics
NPI:1154005163
Name:ZAYED, DENNA (APRN)
Entity type:Individual
Prefix:
First Name:DENNA
Middle Name:
Last Name:ZAYED
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DENNA
Other - Middle Name:
Other - Last Name:ZAYED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DENNA ZAYED
Mailing Address - Street 1:8008 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:IL
Mailing Address - Zip Code:60459-1920
Mailing Address - Country:US
Mailing Address - Phone:708-620-0541
Mailing Address - Fax:
Practice Address - Street 1:8008 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:IL
Practice Address - Zip Code:60459-1920
Practice Address - Country:US
Practice Address - Phone:708-620-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209027247363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health