Provider Demographics
NPI:1487742227
Name:ZORNES, MARIE (CRNFA, ARNP)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:ZORNES
Suffix:
Gender:F
Credentials:CRNFA, ARNP
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:RASMUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34509 9TH AVE S STE 204
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8708
Mailing Address - Country:US
Mailing Address - Phone:253-835-5510
Mailing Address - Fax:253-835-5511
Practice Address - Street 1:34509 9TH AVE S STE 204
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8708
Practice Address - Country:US
Practice Address - Phone:253-835-5510
Practice Address - Fax:253-835-5511
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00090874163WR0006X
WAAP60318764363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0112716OtherL & I
WA2032071Medicaid
WAZ07134OtherREGENCE