Provider Demographics
NPI:1861884488
Name:ZOLLINGER, REBECCA ANN (LM, MS)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:ZOLLINGER
Suffix:
Gender:F
Credentials:LM, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7636 FORD DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-6421
Mailing Address - Country:US
Mailing Address - Phone:253-226-6350
Mailing Address - Fax:
Practice Address - Street 1:7636 FORD DR NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-6421
Practice Address - Country:US
Practice Address - Phone:253-226-6350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60521934176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife