Healthcare Provider Details

I. General information

NPI: 1750268488
Provider Name (Legal Business Name): PAULA KAE ZERVOULAKOS FNP- C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 NUT TREE RD STE B
VACAVILLE CA
95687-6918
US

IV. Provider business mailing address

2601 NUT TREE RD STE B
VACAVILLE CA
95687-6918
US

V. Phone/Fax

Practice location:
  • Phone: 925-685-4224
  • Fax:
Mailing address:
  • Phone: 925-685-4224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95034411
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: