Provider Demographics
NPI:1386305035
Name:THOMAS, ZANDRA NIAFARIA
Entity type:Individual
Prefix:
First Name:ZANDRA
Middle Name:NIAFARIA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 NEWTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3070
Mailing Address - Country:US
Mailing Address - Phone:234-340-9680
Mailing Address - Fax:
Practice Address - Street 1:1930 NEWTON ST APT 1
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-3070
Practice Address - Country:US
Practice Address - Phone:234-340-9680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3271050101YS0200X
OH374U00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No374U00000XNursing Service Related ProvidersHome Health Aide