Healthcare Provider Details

I. General information

NPI: 1396284873
Provider Name (Legal Business Name): LUCILLE E ZAPPITELLI-SASON C.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LUCILLE E ZAPPITELLI C.N.P.

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 MENTOR AVE STE 100
MENTOR OH
44060-8702
US

IV. Provider business mailing address

36000 EUCLID AVE MSO
WILLOUGHBY OH
44094-4625
US

V. Phone/Fax

Practice location:
  • Phone: 440-352-4880
  • Fax: 440-352-3629
Mailing address:
  • Phone: 440-953-6082
  • Fax: 440-953-6101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.020486
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN.403405
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: