Healthcare Provider Details

I. General information

NPI: 1396442844
Provider Name (Legal Business Name): RUO HAN ZHANG ARNP DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SELLENNA ZHANG

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MINOR AVE STE 300
SEATTLE WA
98104-2133
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-9505
  • Fax: 206-860-6663
Mailing address:
  • Phone: 206-320-4476
  • Fax: 206-568-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61379910
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP61379910
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60574765
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: