Healthcare Provider Details

I. General information

NPI: 1013324656
Provider Name (Legal Business Name): MORGAN ZENTNER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 01/17/2020
Certification Date: 01/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 LILLY RD NE BLDG B SUITE C
OLYMPIA WA
98506-5069
US

IV. Provider business mailing address

200 LILLY RD NE STE B
OLYMPIA WA
98506-5080
US

V. Phone/Fax

Practice location:
  • Phone: 360-456-0555
  • Fax: 360-456-0721
Mailing address:
  • Phone: 360-754-9409
  • Fax: 360-438-6760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60483956
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60525849
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: