Collista Jean Zook, RN
Individual provider Active NPI Registered Nurse · La Center, WA
NPI 1669904025 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1669904025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN 60065661 (WA)
- Practice address
- 40101 NE 32ND Ave
La Center, WA 98629-5120 - Phone
- (360) 335-4928
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 60065661 | WA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 60065661 | WA | Yes |
Addresses
Primary practice location
40101 NE 32ND Ave
La Center, WA 98629-5120
Mailing address
PO Box 410
La Center, WA 98629-0410
Phone (360) 335-4928
Other providers in La Center, WA
All providers in La Center, WA · Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.