Provider Demographics
NPI:1194294330
Name:ZSADANYI, VANESSA (ARNP)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:ZSADANYI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17068
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98127-0768
Mailing Address - Country:US
Mailing Address - Phone:971-801-8696
Mailing Address - Fax:
Practice Address - Street 1:2120 S PLUM ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4539
Practice Address - Country:US
Practice Address - Phone:203-441-3043
Practice Address - Fax:206-441-4155
Is Sole Proprietor?:No
Enumeration Date:2018-11-16
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60766325163W00000X
WAAP61002882363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse