Individual
EVA MARIE ZAZUETA-LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN, WHNP
Contact information
Practice address
9828 BERRY LN, WINDSOR, CA 95492-9490
(707) 657-9528
Mailing address
9828 BERRY LN, WINDSOR, CA 95492-9490
(707) 657-9528
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
587221
CA
176B00000X
Midwife
Primary
LM478
CA
363LW0102X
Women's Health Nurse Practitioner
19553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073675179
—
CA
Enumeration date
12/14/2006
Last updated
10/26/2023
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