Healthcare Provider Details

I. General information

NPI: 1689494817
Provider Name (Legal Business Name): JOANNA ZAPARZYNSKI AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5674 EL CARO CT
LAS VEGAS NV
89122-4730
US

IV. Provider business mailing address

5674 EL CARO CT
LAS VEGAS NV
89122-4730
US

V. Phone/Fax

Practice location:
  • Phone: 702-622-1919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number883104
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: