Provider Demographics
NPI:1942447966
Name:ZABICKI, PAMELA G
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:G
Last Name:ZABICKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13605 214TH ST E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-8509
Mailing Address - Country:US
Mailing Address - Phone:253-226-6724
Mailing Address - Fax:360-893-2762
Practice Address - Street 1:13605 214TH ST E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-8509
Practice Address - Country:US
Practice Address - Phone:253-226-6724
Practice Address - Fax:360-893-2762
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00050797164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse