Provider Demographics
NPI:1073500260
Name:ZOCCHI, LININA MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:LININA
Middle Name:MARIE
Last Name:ZOCCHI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LININA
Other - Middle Name:M
Other - Last Name:JOB, RAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1115 SE 164TH AVE
Mailing Address - Street 2:DEPT 358
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9324
Mailing Address - Country:US
Mailing Address - Phone:360-514-2000
Mailing Address - Fax:360-575-6749
Practice Address - Street 1:2312 NE 129TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3236
Practice Address - Country:US
Practice Address - Phone:360-696-5022
Practice Address - Fax:360-696-5445
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00128186163W00000X
WAAP30007101363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0202237OtherLABOR & IND.
WA8940109OtherCRIME VICTIMS
OR27906Medicaid
P00331117OtherRR MEDICARE
WA9646605Medicaid
WA9646605Medicaid
WA8856633Medicare PIN