Provider Demographics
NPI:1659118701
Name:ZUJEVA, TAMILLA (FNP)
Entity type:Individual
Prefix:
First Name:TAMILLA
Middle Name:
Last Name:ZUJEVA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:MASLOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:140 SAMOSET ST STE 2
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4802
Practice Address - Country:US
Practice Address - Phone:508-209-5362
Practice Address - Fax:508-209-5393
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2307780363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily