Healthcare Provider Details

I. General information

NPI: 1134834674
Provider Name (Legal Business Name): LEAH NICHOLE ZAPPONI LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 MAIN ST
GREENFIELD MA
01301-3275
US

IV. Provider business mailing address

16 STANDISH CT APT B
GREENFIELD MA
01301-3854
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-6252
  • Fax:
Mailing address:
  • Phone: 413-433-5009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN70170
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: