Individual
ELIZABETH KELLEY WICHETA ZINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2005 W MAIN ST STE 110, BATTLE GROUND, WA 98604-4311
(360) 882-2778
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024171872
VA
363LF0000X
Family Nurse Practitioner
Primary
AP60823894
WA
Other
Enumeration date
07/22/2014
Last updated
04/10/2018
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