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DEEADRA LYNANIA URSIN-ZACHARY CRANIAL PROTHESIS
NPI 1689411555
Prosthetic/Orthotic Supplier in Show Low, AZ

Active since July 09, 2024
2707 S WHITE MOUNTAIN RD STE G, SHOW LOW, AZ 85901(928) 421-0998 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deeadra Lynania Ursin-zachary Cranial Prothesis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEEADRA LYNANIA URSIN-ZACHARY CRANIAL PROTHESIS (NPI 1689411555) is an individual prosthetic/orthotic supplier provider in Show Low, Arizona and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1689411555
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameDEEADRA LYNANIA URSIN-ZACHARYCredential: CRANIAL PROTHESIS
Location Address2707 S WHITE MOUNTAIN RD STE GShow Low, AZ 85901-7343
Mailing Address1867 Rainbow CirShow Low, AZ 85901-7020 · (928) 200-3131
Phone(928) 421-0998
Sole ProprietorYes
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1689411555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

2707 S WHITE MOUNTAIN RD STE G, Show Low, AZ 85901
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Frequently Asked Questions

What is Deeadra Ursin-zachary's NPI number?

The NPI number assigned to this healthcare provider is 1689411555, enumerated as an "individual" on July 09, 2024.

Where is the provider located?

The provider is located at 2707 S WHITE MOUNTAIN RD STE G SHOW LOW, AZ 85901 and the phone number is (928) 421-0998.

What is the provider's specialty?

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.