Provider Demographics
NPI:1487472619
Name:ZAMENI, NILOFAR (NP)
Entity type:Individual
Prefix:
First Name:NILOFAR
Middle Name:
Last Name:ZAMENI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 EAGLE LAKE CT UNIT 12
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4860
Mailing Address - Country:US
Mailing Address - Phone:925-206-0463
Mailing Address - Fax:
Practice Address - Street 1:126 POST ST FL 2
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4704
Practice Address - Country:US
Practice Address - Phone:415-742-9989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032336363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner