Healthcare Provider Details

I. General information

NPI: 1013911080
Provider Name (Legal Business Name): JOHN A ZEIER ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 03/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E 33RD ST STE 206
VANCOUVER WA
98663-2776
US

IV. Provider business mailing address

100 E 33RD ST STE 206
VANCOUVER WA
98663-2776
US

V. Phone/Fax

Practice location:
  • Phone: 360-695-1334
  • Fax: 360-992-1159
Mailing address:
  • Phone: 360-695-1334
  • Fax: 360-992-1159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60247944
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: