Healthcare Provider Details

I. General information

NPI: 1760069736
Provider Name (Legal Business Name): AGNIESZKA ZAPOROWSKA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8586 POTTER PARK DR
SARASOTA FL
34238-5439
US

IV. Provider business mailing address

8586 POTTER PARK DR
SARASOTA FL
34238-5439
US

V. Phone/Fax

Practice location:
  • Phone: 941-321-8688
  • Fax: 949-703-8748
Mailing address:
  • Phone: 941-321-8688
  • Fax: 949-703-8748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1101230025
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11012325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: