Healthcare Provider Details
I. General information
NPI: 1750082343
Provider Name (Legal Business Name): ZELLA ROSE PAPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/13/2023
Last Update Date: 03/13/2023
Certification Date: 03/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2378 RUFUS CT
LEWIS CENTER OH
43035-8111
US
IV. Provider business mailing address
57 E 14TH AVE APT A
COLUMBUS OH
43201-4126
US
V. Phone/Fax
- Phone: 330-641-4649
- Fax:
- Phone: 330-641-4649
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 372600000X |
| Taxonomy | Adult Companion |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: