Provider Demographics
NPI:1043474281
Name:ZAMBRANO, CARMEN
Entity Type:Individual
Prefix:MISS
First Name:CARMEN
Middle Name:
Last Name:ZAMBRANO
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 1:10382 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5957
Mailing Address - Country:US
Mailing Address - Phone:352-410-9035
Mailing Address - Fax:352-688-0569
Practice Address - Street 1:10382 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5957
Practice Address - Country:US
Practice Address - Phone:352-410-9035
Practice Address - Fax:352-688-0569
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6906186374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide