Healthcare Provider Details

I. General information

NPI: 1154265916
Provider Name (Legal Business Name): ZOYA NW PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7027 W STALEY RD
DEER PARK WA
99006-5638
US

IV. Provider business mailing address

818 W RIVERSIDE AVE STE 100
SPOKANE WA
99201-0910
US

V. Phone/Fax

Practice location:
  • Phone: 509-905-9692
  • Fax:
Mailing address:
  • Phone: 509-905-9692
  • Fax: 509-350-4922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY BRANDT
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 509-905-9692