Healthcare Provider Details

I. General information

NPI: 1700695723
Provider Name (Legal Business Name): ZIVENA HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W WASHINGTON ST SUITE 104 PERS123
SEQUIM WA
98382
US

IV. Provider business mailing address

1400 W WASHINGTON ST STE 104 73 MARINERS S DR
SEQUIM WA
98382-3236
US

V. Phone/Fax

Practice location:
  • Phone: 360-662-6273
  • Fax:
Mailing address:
  • Phone: 360-662-6273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANE COX
Title or Position: CONTRACTS AND OFFICE MANAGER
Credential:
Phone: 949-664-2796