Individual
MARYELLEN ZINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
17000 140TH AVE NE, SUITE # 101, WOODINVILLE, WA 98072-6928
(425) 488-2273
(425) 488-4971
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006022
WA
363LA2200X
Adult Health Nurse Practitioner
AP30006022
WA
363LF0000X
Family Nurse Practitioner
AP30006022
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157902
L&I PIN
WA
01
—
08654U
REGENCE BLUE SHIELD PIN
WA
05
—
9640020
—
WA
Enumeration date
07/07/2006
Last updated
02/16/2011
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