Provider Demographics
NPI:1588652960
Name:ZAPATA, ELAINE (ARNP)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 W NEWBERRY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-6605
Mailing Address - Country:US
Mailing Address - Phone:352-333-5946
Mailing Address - Fax:352-333-5947
Practice Address - Street 1:6400 W NEWBERRY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-6605
Practice Address - Country:US
Practice Address - Phone:352-333-5946
Practice Address - Fax:352-333-5947
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3393062363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 3393062OtherNURSE PRACTITIONER LICENS