Healthcare Provider Details

I. General information

NPI: 1023955309
Provider Name (Legal Business Name): MEREDITH LYNNE ZWICKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NOB HILL AVE N APT 105
SEATTLE WA
98109-3729
US

IV. Provider business mailing address

900 NOB HILL AVE N APT 105
SEATTLE WA
98109-3729
US

V. Phone/Fax

Practice location:
  • Phone: 202-630-3714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number61114629
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: