Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD60292203 | WA |
NPI | 1043534936 |
---|---|
Provider Name | Nicole Kansier Zern |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-0004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2010 |
Last Update Date | 09/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043534936 | (05) | WA |