Mary-Colleen D. Zucconi, P.A.
Surgical PA · Vancouver, WA
UnclaimedP.A.NPI 1194969717
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2009-04-27
- Practice location
- Vancouver, WA
- Last NPPES update
- 2018-08-07
State licenses
- OR · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.