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Individual

NICOLE L ZINNECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
44 E COZZA DR, SPOKANE, WA 99208-6514
(509) 325-6800
Mailing address
44 E COZZA DR, SPOKANE, WA 99208-6514
(509) 325-6800

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00163411
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2077844
WA
Enumeration date
04/23/2021
Last updated
04/23/2021
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