Provider Demographics
NPI:1043799703
Name:DAMAWAND, ZOHRA (FNP)
Entity type:Individual
Prefix:
First Name:ZOHRA
Middle Name:
Last Name:DAMAWAND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ZAHRA
Other - Middle Name:
Other - Last Name:HAKEEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29744 SKI RANCH ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4201
Mailing Address - Country:US
Mailing Address - Phone:317-615-9266
Mailing Address - Fax:
Practice Address - Street 1:40700 CALIFORNIA OAKS RD STE 207
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5789
Practice Address - Country:US
Practice Address - Phone:951-412-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95030204363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care