Healthcare Provider Details

I. General information

NPI: 1326922006
Provider Name (Legal Business Name): HUSSEIN REMTULLA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 OAKES AVE
EVERETT WA
98201-3657
US

IV. Provider business mailing address

17400 85TH AVE NE
ARLINGTON WA
98223-4063
US

V. Phone/Fax

Practice location:
  • Phone: 425-231-7835
  • Fax:
Mailing address:
  • Phone: 505-974-4680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP70031668
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAP70031668
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP70031668
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP70031668
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: