Provider Demographics
NPI:1275225716
Name:ZAPATA, CAROLINA (APRN)
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:ZAPATA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:220 W 71ST ST STE 5
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74132-2011
Mailing Address - Country:US
Mailing Address - Phone:918-584-8522
Mailing Address - Fax:
Practice Address - Street 1:220 W 71ST ST STE 5
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-2011
Practice Address - Country:US
Practice Address - Phone:918-584-8522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK212188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily