Provider Demographics
NPI:1134645179
Name:ZAPATA, MIRIAM ELIZABETH (ARNP)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:ELIZABETH
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:MIRIAM
Other - Middle Name:ELIZABETH
Other - Last Name:BRICENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2306 NORTH BLVD W
Mailing Address - Street 2:STE C
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-8976
Mailing Address - Country:US
Mailing Address - Phone:305-731-0223
Mailing Address - Fax:
Practice Address - Street 1:13767 AMELIA POND DRIVE
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786
Practice Address - Country:US
Practice Address - Phone:305-731-0223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2543932363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily