Healthcare Provider Details

I. General information

NPI: 1871376152
Provider Name (Legal Business Name): SAMANTHA ZUBAK FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 375
DENVER IA
50622
US

IV. Provider business mailing address

PO BOX 375
DENVER IA
50622-0375
US

V. Phone/Fax

Practice location:
  • Phone: 319-984-5753
  • Fax:
Mailing address:
  • Phone: 319-984-5753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA173548
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: