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NPI Code Detail

MEDICARE: SAINABOU WADDA DNP, ARNP

MEDICARE: SAINABOU WADDA DNP, ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerAP60665719WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871041988
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAINABOU WADDA DNP, ARNP
Provider Business Mailing Address
First Line : 8980 161ST AVE NE STE 400
Second Line :
City : REDMOND
State : WA
Zip : 98052-7554
Country : US
Telephone Number : 425-992-2738
Fax Number : 425-259-1154
Provider Business Practice Location Address
First Line : 22850 NE 8TH ST STE 103
Second Line :
City : SAMMAMISH
State : WA
Zip : 98074-7256
Country : US
Telephone Number : 425-488-4988
Fax Number : 425-488-4993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2016
Last Update Date : 06/02/2020

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