Healthcare Provider Details

I. General information

NPI: 1144643842
Provider Name (Legal Business Name): LORETTA NGUYEN ZANETTI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2014
Last Update Date: 04/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 OAKFIELD DR
BRANDON FL
33511-5710
US

IV. Provider business mailing address

505 OAKFIELD DR
BRANDON FL
33511-5700
US

V. Phone/Fax

Practice location:
  • Phone: 813-654-2273
  • Fax: 813-654-1384
Mailing address:
  • Phone: 813-654-2273
  • Fax: 813-654-1384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9331936
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: