Provider Demographics
NPI:1134638935
Name:ZAPATA, ALESSANDRA (MSN, AGPCNP, ARNP)
Entity type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:MSN, AGPCNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 SW 145TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4238
Mailing Address - Country:US
Mailing Address - Phone:954-774-4100
Mailing Address - Fax:954-405-8813
Practice Address - Street 1:2750 SW 145TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4238
Practice Address - Country:US
Practice Address - Phone:954-408-2250
Practice Address - Fax:954-405-8813
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9417942363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022787900Medicaid