Healthcare Provider Details

I. General information

NPI: 1518700673
Provider Name (Legal Business Name): JUAN PAOLO ZAPANTA BSN, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12911 120TH AVE NE
KIRKLAND WA
98034-3027
US

IV. Provider business mailing address

13610 91ST PL NE
KIRKLAND WA
98034-1851
US

V. Phone/Fax

Practice location:
  • Phone: 206-591-3185
  • Fax:
Mailing address:
  • Phone: 425-542-2839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN61184323
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: