Healthcare Provider Details

I. General information

NPI: 1366880734
Provider Name (Legal Business Name): IRMA ZESATI MEJIA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRMA ZESATI RAMOS RN

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S 11TH ST
SUNNYSIDE WA
98944-2243
US

IV. Provider business mailing address

PO BOX 957
SUNNYSIDE WA
98944-0957
US

V. Phone/Fax

Practice location:
  • Phone: 509-839-6822
  • Fax: 509-839-5913
Mailing address:
  • Phone: 509-839-6822
  • Fax: 509-839-5913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP60361834
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: