Healthcare Provider Details
I. General information
NPI: 1588934061
Provider Name (Legal Business Name): AIMEE M ZEBIAN M.S., C.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/30/2011
Last Update Date: 12/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 N 36TH ST SUITE 423
SEATTLE WA
98103-8697
US
IV. Provider business mailing address
1020 NE 68TH ST
SEATTLE WA
98115-6622
US
V. Phone/Fax
- Phone: 206-214-7966
- Fax: 206-219-3051
- Phone: 206-214-7966
- Fax: 206-219-3051
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133NN1002X |
| Taxonomy | Nutrition Education Nutritionist |
| License Number | NU60190587 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: