Doctor Name: | MRS. TABITHA ZAPPONE |
NPI Number: | 1396004321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP-990376 |
Business Practice Address: | 27 B. Talisman Dr. #3 Pagosa Springs, CO - 81147 |
Business Phone Number: | 9707315252 |
Business Fax Number: | 9707319922 |
Mailing Address: | 27 B Talisman Dr. #3, PAGOSA SPRINGS |
State: | CO |
Postal Code: | 81147 |
Phone Number: | 9707315252 |
Fax Number: | 9707315252 |
NPI Enumeration Date: | 05/11/2012 |
NPI Last Update Date: | 11/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP-990376 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |