Healthcare Provider Details

I. General information

NPI: 1710279229
Provider Name (Legal Business Name): TRISHA MARIE ZUANICH R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2011
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 MERIDIAN AVE N SUITE 300
SEATTLE WA
98133-9451
US

IV. Provider business mailing address

10330 MERIDIAN AVE N SUITE 300
SEATTLE WA
98133-9451
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-6100
  • Fax: 206-368-6101
Mailing address:
  • Phone: 206-368-6100
  • Fax: 206-368-6101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00150910
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: