Provider Demographics
NPI:1316392822
Name:ZAMORANO, DEANNA MARIE (MS, BSN,RN)
Entity type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:MARIE
Last Name:ZAMORANO
Suffix:
Gender:F
Credentials:MS, BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8450
Mailing Address - Street 2:16752 N. GREASEWOOD ST
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-0124
Mailing Address - Country:US
Mailing Address - Phone:623-979-7126
Mailing Address - Fax:623-979-5249
Practice Address - Street 1:8133 W CACTUS RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5215
Practice Address - Country:US
Practice Address - Phone:623-979-7126
Practice Address - Fax:623-979-5249
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN178429163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse