Healthcare Provider Details

I. General information

NPI: 1437045135
Provider Name (Legal Business Name): NUR KHALIDAH FARZANAH SAHAR
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13116 NE 132ND ST
KIRKLAND WA
98034-2306
US

IV. Provider business mailing address

31210 NE 40TH ST APT 208
CARNATION WA
98014-7512
US

V. Phone/Fax

Practice location:
  • Phone: 425-869-6490
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: