Healthcare Provider Details

I. General information

NPI: 1881523074
Provider Name (Legal Business Name): NOMITA PAUL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22901 114TH WAY SE
KENT WA
98031-2643
US

IV. Provider business mailing address

7345 164TH AVE NE STE 145-401
REDMOND WA
98052-7846
US

V. Phone/Fax

Practice location:
  • Phone: 425-241-7502
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number759051
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: