Healthcare Provider Details

I. General information

NPI: 1013240720
Provider Name (Legal Business Name): ROBIN KRISTIN ZIEGLER MATHEW ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN KRISTIN ZIEGLER ARNP

II. Dates (important events)

Enumeration Date: 09/13/2009
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 EASTLAKE AVE E
SEATTLE WA
98109-4405
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-288-7401
  • Fax: 206-288-6998
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60087255
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: