Provider Demographics
NPI:1033361548
Name:ZAPANTA, JANISE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:JANISE
Middle Name:
Last Name:ZAPANTA
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8855 BETELGEUSE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-1405
Mailing Address - Country:US
Mailing Address - Phone:858-204-2560
Mailing Address - Fax:
Practice Address - Street 1:8855 BETELGEUSE WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-1405
Practice Address - Country:US
Practice Address - Phone:858-204-2560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA518596163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse