Provider Demographics
NPI:1518368489
Name:FRIEDMAN MELENDEZ, ZOE (RN, CWCN)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:FRIEDMAN MELENDEZ
Suffix:
Gender:F
Credentials:RN, CWCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23612 NE 25TH WAY
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-5474
Mailing Address - Country:US
Mailing Address - Phone:425-647-9635
Mailing Address - Fax:
Practice Address - Street 1:23612 NE 25TH WAY
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-5474
Practice Address - Country:US
Practice Address - Phone:425-647-9635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN 60254301163WW0000X
NYRN 671830163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care