MEDICARE: ZOE NZIMANDE RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DI61234936	WA
2	133V00000X	Registered Dietitian	86099495	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073276507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOE NZIMANDE RDN

Provider Business Mailing Address
First Line	:	2641 42ND AVE SW APT 412
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4607
Country	:	US
Telephone Number	:	609-851-3293
Fax Number	:

Provider Business Practice Location Address
First Line	:	2641 42ND AVE SW APT 412
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4607
Country	:	US
Telephone Number	:	609-851-3293
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2021
Last Update Date	:	11/21/2023

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Directions to “ ZOE NZIMANDE RDN” Practice Location

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