Provider Demographics
NPI:1699329458
Name:WARREN, ZOE ELIZABETH (PA)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:ELIZABETH
Last Name:WARREN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2703
Mailing Address - Country:US
Mailing Address - Phone:520-989-8012
Mailing Address - Fax:520-959-8014
Practice Address - Street 1:4730 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2703
Practice Address - Country:US
Practice Address - Phone:520-989-8012
Practice Address - Fax:520-959-8014
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical