Healthcare Provider Details

I. General information

NPI: 1508220823
Provider Name (Legal Business Name): DIANA ZAPP PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 05/29/2025
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 S 91ST ST
LINCOLN NE
68526
US

IV. Provider business mailing address

7440 S 91ST ST
LINCOLN NE
68526
US

V. Phone/Fax

Practice location:
  • Phone: 402-328-3294
  • Fax: 402-328-3970
Mailing address:
  • Phone: 402-441-4760
  • Fax: 402-441-4764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2026
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: