Provider Demographics
NPI:1407385966
Name:CZAPP, NIKOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKOLE
Middle Name:
Last Name:CZAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 ESTATE THOMAS STE 201
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2400
Mailing Address - Country:US
Mailing Address - Phone:340-776-4325
Mailing Address - Fax:
Practice Address - Street 1:9150 ESTATE THOMAS STE 201
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2400
Practice Address - Country:US
Practice Address - Phone:340-776-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME143915207Q00000X
PAMT213882207Q00000X
VI3353207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine