| Doctor Name: | DIANNA ZANDER |
| NPI Number: | 1053723320 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 00068489 |
| Business Practice Address: | 350 River Ridge Dr Se Lacey, WA - 985136830 |
| Business Phone Number: | 3604124830 |
| Business Fax Number: | 3604124839 |
| Mailing Address: | 350 River Ridge Drive Se, LACEY |
| State: | WA |
| Postal Code: | 98513 |
| Phone Number: | 3604124830 |
| Fax Number: | 3604124839 |
| NPI Enumeration Date: | 05/21/2014 |
| NPI Last Update Date: | 05/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 00068489 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |