MEDICARE: JOSE BENJAMIN FRANCISCO ZAMORA NAVA ARNP

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	363LF0000X	Family Nurse Practitioner	AP61654202	WA

General Provider Information

NPI Number	:	1871387829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE BENJAMIN FRANCISCO ZAMORA NAVA ARNP

Provider Business Mailing Address
First Line	:	923 AARON DR UNIT 108
Second Line	:
City	:	LYNDEN
State	:	WA
Zip	:	98264-8534
Country	:	US
Telephone Number	:	236-512-3735
Fax Number	:

Provider Business Practice Location Address
First Line	:	923 AARON DR UNIT 108
Second Line	:
City	:	LYNDEN
State	:	WA
Zip	:	98264-8534
Country	:	US
Telephone Number	:	236-512-3735
Fax Number	:	236-512-3735

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

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