Provider Demographics
NPI:1366417909
Name:PASUMANSKY, NATALIA (DNP)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:PASUMANSKY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:NATALY
Other - Middle Name:
Other - Last Name:PASUMANSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ZERO TO 120 CARE
Mailing Address - Street 1:2007 152ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5521
Mailing Address - Country:US
Mailing Address - Phone:425-440-7760
Mailing Address - Fax:425-440-7750
Practice Address - Street 1:2007 152ND AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5521
Practice Address - Country:US
Practice Address - Phone:425-440-7760
Practice Address - Fax:425-440-7750
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30006665207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2321755Medicaid
WA9641085Medicaid
WAQ49956Medicare UPIN