Individual
EDNA R ZAPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2000 W 21ST ST STE A1, CLOVIS, NM 88101-4092
(575) 762-8055
(575) 723-3351
Mailing address
2000 W 21ST ST STE A1, CLOVIS, NM 88101-4092
(575) 762-8055
(575) 763-3351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
62076
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20200132042
ANCC
NM
01
—
62076
APRN-CNP
NM
Enumeration date
02/24/2021
Last updated
03/31/2021
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