Provider Demographics
NPI:1346471141
Name:ZAPATA, LISA PINEIDA (LVN, RN)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:PINEIDA
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:LVN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38324 SUMAC LN
Mailing Address - Street 2:
Mailing Address - City:YOKUTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93675-8700
Mailing Address - Country:US
Mailing Address - Phone:559-939-0208
Mailing Address - Fax:
Practice Address - Street 1:38324 SUMAC LN
Practice Address - Street 2:
Practice Address - City:YOKUTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93675-8700
Practice Address - Country:US
Practice Address - Phone:559-939-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95374109163W00000X
CAVN229985164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse