Zuleika Provstgaard

Peer Specialist · Omak, WA

Individual Active NPI

NPI number 1902604176

Practice location

1007 Koala Dr
Omak, WA 98841-9247
Phone
(509) 826-6191

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NPI record

NPI
1902604176
Entity type
Individual (Type 1)
Enumeration date
March 4, 2025
Last updated
March 4, 2025
Certified
March 4, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X CG61653497 —
Counselor 101Y00000X — —

About Zuleika Provstgaard

Zuleika Provstgaard is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1007 Koala Dr, Omak, WA 98841-9247. The NPI number 1902604176 was assigned on March 4, 2025 and the record was last updated on March 4, 2025.

Zuleika Provstgaard lists a license in the registry: #CG61653497 for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Zuleika Provstgaard?

The NPI number is 1902604176.

What is the phone number of Zuleika Provstgaard?

The phone number listed for the practice location is (509) 826-6191.

Where is Zuleika Provstgaard located?

1007 Koala Dr, Omak, WA 98841-9247.

What is the taxonomy code for Zuleika Provstgaard?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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