MEDICARE: MS. ANITA ZAPPONE MA,APRN,BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	0015000427	VA

General Provider Information

NPI Number	:	1831108125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANITA ZAPPONE MA,APRN,BC

Provider Business Mailing Address
First Line	:	11166 FAIRFAX BLVD
Second Line	:	405
City	:	FAIRFAX
State	:	VA
Zip	:	22030-5017
Country	:	US
Telephone Number	:	703-383-1114
Fax Number	:	703-359-7814

Provider Business Practice Location Address
First Line	:	11166 FAIRFAX BLVD
Second Line	:	405
City	:	FAIRFAX
State	:	VA
Zip	:	22030-5017
Country	:	US
Telephone Number	:	703-383-1114
Fax Number	:	703-359-7814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/08/2007

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