Healthcare Provider Details

I. General information

NPI: 1407387178
Provider Name (Legal Business Name): VASTI Y ZAPATA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 N TAYLOR RD APT B
MCALLEN TX
78504-9338
US

IV. Provider business mailing address

8600 N TAYLOR RD APT B
MCALLEN TX
78504-9338
US

V. Phone/Fax

Practice location:
  • Phone: 956-821-8344
  • Fax:
Mailing address:
  • Phone: 956-821-8344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP132614
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: