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NPI Code Detail

MEDICARE: MARY LOU ZOZAYA-MONOHON ARNP

MEDICARE: MARY LOU ZOZAYA-MONOHON ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP30003922WA

General Provider Information

NPI Number : 1811998735
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY LOU ZOZAYA-MONOHON ARNP
Provider Business Mailing Address
First Line : PO BOX 3360
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3360
Country : US
Telephone Number : 866-747-2455
Fax Number :
Provider Business Practice Location Address
First Line : 525 LILLY RD NE
Second Line : PMG SW WA ST PETER FAM MED
City : OLYMPIA
State : WA
Zip : 98506-5101
Country : US
Telephone Number : 360-493-7230
Fax Number : 360-493-4180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 04/30/2021

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