Healthcare Provider Details

I. General information

NPI: 1801632567
Provider Name (Legal Business Name): NASIM HANIF HURD NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 ROCKEFELLER AVE STE 140
EVERETT WA
98201-1682
US

IV. Provider business mailing address

1330 ROCKEFELLER AVE STE 140
EVERETT WA
98201-1682
US

V. Phone/Fax

Practice location:
  • Phone: 425-261-4210
  • Fax: 425-261-4211
Mailing address:
  • Phone: 425-261-4210
  • Fax: 425-261-4211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP.AP.70072507-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number405951
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: