Most Relevant Information
Provider Data
| NPI Number: | 1003400680 |
| Provider Name: | EDNA R ZAPATA CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 62076 |
Most Important Dates
| Enumeration Date: | 02/24/2021 |
| Last Updated: | 03/31/2021 |
Provider Practice Location
2000 W 21ST ST STE A1
CLOVIS
NM
881014092
Practice Location Phone/Fax
| Phone: | 5757628055 |
| Fax: | 5757233351 |
Provider Mailing Location
2000 W 21ST ST STE A1
CLOVIS
NM
881014092
Provider Mailing Phone/Fax
| Phone: | 5757628055 |
| Fax: | 5757633351 |