Provider Demographics
NPI:1841346186
Name:ZIV, GAIL SYLVIA (PSYNP)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:SYLVIA
Last Name:ZIV
Suffix:
Gender:F
Credentials:PSYNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2135 E UNIVERSITY DR STE 116
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-8335
Mailing Address - Country:US
Mailing Address - Phone:480-325-0313
Mailing Address - Fax:480-324-0631
Practice Address - Street 1:2135 E UNIVERSITY DR STE 116
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-8335
Practice Address - Country:US
Practice Address - Phone:480-325-0313
Practice Address - Fax:480-324-0631
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN045016AP0033363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ860703677Medicare UPIN