Provider Demographics
NPI:1013324656
Name:ZENTNER, MORGAN (ARNP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:ZENTNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LILLY RD NE STE B
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5080
Mailing Address - Country:US
Mailing Address - Phone:360-754-9409
Mailing Address - Fax:360-438-6760
Practice Address - Street 1:205 LILLY RD NE
Practice Address - Street 2:BLDG B SUITE C
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5069
Practice Address - Country:US
Practice Address - Phone:360-456-0555
Practice Address - Fax:360-456-0721
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60483956367A00000X
WAAP60525849363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife