Provider Demographics
NPI:1871813337
Name:ZAPATA, IVETTE I (BSW)
Entity type:Individual
Prefix:MISS
First Name:IVETTE
Middle Name:
Last Name:ZAPATA
Suffix:I
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6941 SECOND ST
Mailing Address - Street 2:
Mailing Address - City:CANUTILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79835-5485
Mailing Address - Country:US
Mailing Address - Phone:915-319-5338
Mailing Address - Fax:
Practice Address - Street 1:6941 SECOND ST
Practice Address - Street 2:
Practice Address - City:CANUTILLO
Practice Address - State:TX
Practice Address - Zip Code:79835-5485
Practice Address - Country:US
Practice Address - Phone:915-319-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program