Individual provider · Type 1 NPI

Zachary Gage Nussbaum, PA-C

Physician Assistant · Tempe, AZ

NPI number 1750124715 Active

Practice location

1492 S Mill Ave Ste 206
Tempe, AZ 85281-5664

Call (480) 508-0882 Map

Mailing address

1492 S Mill Ave Ste 206214
Tempe, AZ 85281-5652

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808X10525 (AZ)
Physician Assistant Primary 363A00000X10525 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750124715

Zachary Gage Nussbaum, PA-C's National Provider Identifier is 1750124715, issued on Jun 17, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tempe, AZ. The record was last updated on Aug 14, 2025.