Individual
MARK L. ZIEGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP, CRNFA, FNP
Contact information
Practice address
2419 LINDA LN, CLARKSTON, WA 99403-1256
(208) 553-4434
Mailing address
2419 LINDA LN, CLARKSTON, WA 99403-1256
(208) 553-4434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201242017RN
OR
163WR0006X
Registered Nurse First Assistant
N-27433
ID
163WR0006X
Registered Nurse First Assistant
RN 00125046
WA
363LF0000X
Family Nurse Practitioner
201250130NP
OR
363LF0000X
Family Nurse Practitioner
AP60167707
WA
363LF0000X
Family Nurse Practitioner
Primary
N-992A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201250130NP
OREGON NP LICENSE
OR
Enumeration date
01/26/2009
Last updated
08/15/2014
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