Healthcare Provider Details

I. General information

NPI: 1366417909
Provider Name (Legal Business Name): NATALIA PASUMANSKY DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALY PASUMANSKY ZERO TO 120 CARE

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 152ND AVE NE
REDMOND WA
98052-5521
US

IV. Provider business mailing address

2007 152ND AVE NE
REDMOND WA
98052-5521
US

V. Phone/Fax

Practice location:
  • Phone: 425-440-7760
  • Fax: 425-440-7750
Mailing address:
  • Phone: 425-440-7760
  • Fax: 425-440-7750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAP30006665
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30006665
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: