Provider Demographics
NPI:1225638828
Name:ZAPATA, PAULINA ALICIA (PMHNP)
Entity type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:ALICIA
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 E COTTONWOOD LN STE B4
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-2517
Mailing Address - Country:US
Mailing Address - Phone:928-975-4091
Mailing Address - Fax:520-616-2658
Practice Address - Street 1:317 E COTTONWOOD LN STE B4
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-2517
Practice Address - Country:US
Practice Address - Phone:928-975-4091
Practice Address - Fax:520-616-2658
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ255310363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health