Zak, Courtney

Zak, Courtney is an individual health care provider with primary practice located at 107 E Oak Ave , Flagstaff AZ 86001-1818. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Zak, Courtney can be contacted via phone (928) 779-7880.

Contact Information

Primary practice address
107 E Oak Ave Flagstaff AZ 86001-1818
Phone: (928) 779-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2021-0115 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10477 Arizona

Profile Details

NPI number 1558023317
LBN Legal business name Zak, Courtney
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2021
Last updated Aug 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558023317 NPPES
New Mexico MEDICAID 80039251

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