Provider Demographics
NPI:1831108125
Name:ZAPPONE, ANITA (MA,APRN,BC)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:
Last Name:ZAPPONE
Suffix:
Gender:F
Credentials:MA,APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11166 FAIRFAX BLVD
Mailing Address - Street 2:405
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-5017
Mailing Address - Country:US
Mailing Address - Phone:703-383-1114
Mailing Address - Fax:703-359-7814
Practice Address - Street 1:11166 FAIRFAX BLVD
Practice Address - Street 2:405
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5017
Practice Address - Country:US
Practice Address - Phone:703-383-1114
Practice Address - Fax:703-359-7814
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015000427364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA492051Medicare ID - Type Unspecified
R79799Medicare UPIN