Healthcare Provider Details

I. General information

NPI: 1750242491
Provider Name (Legal Business Name): AMBER ZAKRAJSEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1826 NW 27TH TER
CAPE CORAL FL
33993-8426
US

IV. Provider business mailing address

1826 NW 27TH TER
CAPE CORAL FL
33993-8426
US

V. Phone/Fax

Practice location:
  • Phone: 239-848-9203
  • Fax:
Mailing address:
  • Phone: 239-848-9203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN110433858
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: