Individual provider · Type 1 NPI

Fred Anthony Zappa Iii

Student in an Organized Health Care Education/Training Program · Lino Lakes, MN

NPI number 1588037121 Active

Practice location

6695 Clearwater Creek Dr
Lino Lakes, MN 55038-7705

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

About NPI 1588037121

Fred Anthony Zappa Iii's National Provider Identifier is 1588037121, issued on Nov 4, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lino Lakes, MN. The record was last updated on Nov 5, 2015.