Provider Demographics
NPI:1831630029
Name:ZAPPI, SOFIA (RN)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:
Last Name:ZAPPI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2756 SINKS CANYON RD
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-9102
Mailing Address - Country:US
Mailing Address - Phone:904-514-2417
Mailing Address - Fax:
Practice Address - Street 1:2756 SINKS CANYON RD
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-9102
Practice Address - Country:US
Practice Address - Phone:904-514-2417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL34352163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse