Provider Demographics
NPI:1629668231
Name:ZAPPIA, RYAN SEAN (RN)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:SEAN
Last Name:ZAPPIA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:RYAN
Other - Last Name:ZAPPIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, CCRN, EMT-P
Mailing Address - Street 1:126 BOSTON AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-7534
Mailing Address - Country:US
Mailing Address - Phone:805-276-5227
Mailing Address - Fax:
Practice Address - Street 1:1 CVS DR
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-6146
Practice Address - Country:US
Practice Address - Phone:401-765-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA829695163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency