Provider Demographics
NPI:1376115717
Name:ZAFFINA, MARY BETHANY (RN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BETHANY
Last Name:ZAFFINA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MARION RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2924
Mailing Address - Country:US
Mailing Address - Phone:203-628-5954
Mailing Address - Fax:
Practice Address - Street 1:41 MARION RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-2924
Practice Address - Country:US
Practice Address - Phone:203-628-5954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT90386163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse