Healthcare Provider Details

I. General information

NPI: 1588652960
Provider Name (Legal Business Name): ELAINE ZAPATA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 03/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 W NEWBERRY RD SUITE 103
GAINESVILLE FL
32605-6605
US

IV. Provider business mailing address

6400 W NEWBERRY RD SUITE 103
GAINESVILLE FL
32605-6605
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-5946
  • Fax: 352-333-5947
Mailing address:
  • Phone: 352-333-5946
  • Fax: 352-333-5947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP 3393062
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: