Provider Demographics
NPI:1366880734
Name:MEJIA, IRMA ZESATI (ARNP)
Entity type:Individual
Prefix:
First Name:IRMA
Middle Name:ZESATI
Last Name:MEJIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:IRMA
Other - Middle Name:ZESATI
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 957
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-0957
Mailing Address - Country:US
Mailing Address - Phone:509-839-6822
Mailing Address - Fax:509-839-5913
Practice Address - Street 1:700 S 11TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-2243
Practice Address - Country:US
Practice Address - Phone:509-839-6822
Practice Address - Fax:509-839-5913
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60361834363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner