Provider Demographics
NPI:1134680655
Name:PASION, RAY ZARZA (ARNP, NP-C)
Entity Type:Individual
Prefix:MR
First Name:RAY
Middle Name:ZARZA
Last Name:PASION
Suffix:
Gender:M
Credentials:ARNP, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 N PENNSYLVANIA AVE STE 570
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88201-4792
Mailing Address - Country:US
Mailing Address - Phone:575-434-0159
Mailing Address - Fax:575-437-0358
Practice Address - Street 1:400 N PENNSYLVANIA AVE STE 570
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:NM
Practice Address - Zip Code:88201-4792
Practice Address - Country:US
Practice Address - Phone:575-434-0159
Practice Address - Fax:575-437-0358
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0100796363L00000X
NMCNP-69401363L00000X
OK100796363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care