Provider Demographics
NPI:1912919085
Name:ZAVALA, BRONWEN F (RN BC MSN CMSRN PCCN)
Entity Type:Individual
Prefix:MRS
First Name:BRONWEN
Middle Name:F
Last Name:ZAVALA
Suffix:
Gender:F
Credentials:RN BC MSN CMSRN PCCN
Other - Prefix:MS
Other - First Name:BRONWEN
Other - Middle Name:FRANCES
Other - Last Name:HOPPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:108 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1417
Mailing Address - Country:US
Mailing Address - Phone:425-308-8763
Mailing Address - Fax:
Practice Address - Street 1:108 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1417
Practice Address - Country:US
Practice Address - Phone:425-308-8763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00104620163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse