Healthcare Provider Details

I. General information

NPI: 1619501400
Provider Name (Legal Business Name): MERCEDES ZAPIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 FORKER BUILDING 534 WALLACE ROAD IOWA STATE UNIVE
AMES IA
50011-0001
US

IV. Provider business mailing address

4112 WESTBROOK DR UNIT 22
AMES IA
50014-3476
US

V. Phone/Fax

Practice location:
  • Phone: 903-275-1459
  • Fax:
Mailing address:
  • Phone: 903-275-1459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: