Provider Demographics
NPI:1861051724
Name:ZAROE, ALNETRA B (MBA)
Entity type:Individual
Prefix:MS
First Name:ALNETRA
Middle Name:B
Last Name:ZAROE
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 GILPIN RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-5107
Mailing Address - Country:US
Mailing Address - Phone:267-334-2974
Mailing Address - Fax:610-616-5325
Practice Address - Street 1:415 GILPIN RD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-5107
Practice Address - Country:US
Practice Address - Phone:267-334-2974
Practice Address - Fax:610-616-5325
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA42863601372600000X, 376J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PANAMedicaid