Provider Demographics
NPI:1225117914
Name:PESIO, ZORA L (ARNP, RNC, MSN)
Entity type:Individual
Prefix:
First Name:ZORA
Middle Name:L
Last Name:PESIO
Suffix:
Gender:F
Credentials:ARNP, RNC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14040 NE 181ST ST
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8529
Mailing Address - Country:US
Mailing Address - Phone:425-483-1777
Mailing Address - Fax:425-483-9777
Practice Address - Street 1:14040 NE 181ST ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8529
Practice Address - Country:US
Practice Address - Phone:425-483-1777
Practice Address - Fax:425-483-9777
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2010-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30002023174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01007Medicare UPIN
WAAB23333Medicare ID - Type UnspecifiedPROVIDER NUMBER