Healthcare Provider Details

I. General information

NPI: 1568914406
Provider Name (Legal Business Name): EMILY ZAWATSKI APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11747 W KEN CARYL AVE
LITTLETON CO
80127-3700
US

IV. Provider business mailing address

7 GLASSWORKS RD
GREENSBORO PA
15338-9507
US

V. Phone/Fax

Practice location:
  • Phone: 720-981-2069
  • Fax:
Mailing address:
  • Phone: 724-943-3308
  • Fax: 724-943-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0992669-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: