MEDICARE: MARIA Z ZAMBRANO CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	10037	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	282506	OTHER	CA	REGISTERED NURSE LIC
2	10037	OTHER	CA	NURSE PRACTITIONER CERT

General Provider Information

NPI Number	:	1346346046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA Z ZAMBRANO CNP

Provider Business Mailing Address
First Line	:	247 W HARVARD BLVD
Second Line	:
City	:	SANTA PAULA
State	:	CA
Zip	:	93060-3223
Country	:	US
Telephone Number	:	805-525-0907
Fax Number	:	805-933-3392

Provider Business Practice Location Address
First Line	:	247 W HARVARD BLVD
Second Line	:
City	:	SANTA PAULA
State	:	CA
Zip	:	93060-3223
Country	:	US
Telephone Number	:	805-525-0907
Fax Number	:	805-933-3392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/08/2007

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