Provider Demographics
NPI:1083139794
Name:CARPENTER, ZOE COLADA (RN)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:COLADA
Last Name:CARPENTER
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 BAYSINGER PL
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-8481
Mailing Address - Country:US
Mailing Address - Phone:425-377-5126
Mailing Address - Fax:
Practice Address - Street 1:908 BAYSINGER PL
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-8481
Practice Address - Country:US
Practice Address - Phone:425-377-5126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-03
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60100690163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse