Provider Demographics
NPI:1497401400
Name:ZAPATA GONZALEZ, ANA M (PA)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:ZAPATA GONZALEZ
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:75 NATURE TRL STE 3
Mailing Address - Street 2:
Mailing Address - City:RADCLIFF
Mailing Address - State:KY
Mailing Address - Zip Code:40160-9111
Mailing Address - Country:US
Mailing Address - Phone:270-351-2323
Mailing Address - Fax:270-351-8031
Practice Address - Street 1:75 NATURE TRL STE 3
Practice Address - Street 2:
Practice Address - City:RADCLIFF
Practice Address - State:KY
Practice Address - Zip Code:40160-9111
Practice Address - Country:US
Practice Address - Phone:270-351-2323
Practice Address - Fax:270-351-8031
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYTC307363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant