Provider Demographics
NPI:1225638828
Name:ZAPATA, PAULINA ALICIA (PMHNP)
Entity Type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:ALICIA
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 E RIVER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5736
Mailing Address - Country:US
Mailing Address - Phone:520-357-0042
Mailing Address - Fax:520-842-3282
Practice Address - Street 1:1050 E RIVER RD STE 200
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5736
Practice Address - Country:US
Practice Address - Phone:520-357-0042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ255310363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health