Provider Demographics
NPI:1396888160
Name:ZAPP, MARGARET M (CRNA)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:ZAPP
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 FIDDLERS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32003-7240
Mailing Address - Country:US
Mailing Address - Phone:904-278-1870
Mailing Address - Fax:
Practice Address - Street 1:1750 FIDDLERS RIDGE DR
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32003-7240
Practice Address - Country:US
Practice Address - Phone:904-278-1870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3044682367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG2076ZMedicare ID - Type Unspecified