Provider Demographics
NPI:1013136142
Name:PABLO, ZENAIDA J (FNP)
Entity type:Individual
Prefix:
First Name:ZENAIDA
Middle Name:J
Last Name:PABLO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ZENAIDA
Other - Middle Name:PABLO
Other - Last Name:KLOPOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:6716 RISATA WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-5800
Mailing Address - Country:US
Mailing Address - Phone:916-691-1383
Mailing Address - Fax:
Practice Address - Street 1:9098 LAGUNA MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7449
Practice Address - Country:US
Practice Address - Phone:916-691-6780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13776363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner