Healthcare Provider Details

I. General information

NPI: 1578489951
Provider Name (Legal Business Name): KARLIE ZAFUTA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 S BROADWAY ST
PITTSBURG KS
66762-7537
US

IV. Provider business mailing address

100 W MCKAY ST
FRONTENAC KS
66763-2277
US

V. Phone/Fax

Practice location:
  • Phone: 620-235-4431
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13-152446-012
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: