Provider Demographics
NPI:1538794649
Name:ZAPATA, MARIA VICTORIA (FNP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:VICTORIA
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22131 BARRINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-5746
Mailing Address - Country:US
Mailing Address - Phone:661-313-8545
Mailing Address - Fax:
Practice Address - Street 1:18751 VENTURA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3372
Practice Address - Country:US
Practice Address - Phone:818-600-4144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95012759363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily