Healthcare Provider Details

I. General information

NPI: 1477909851
Provider Name (Legal Business Name): NADYA ZAWAIDEH MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 05/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

BOX 359930 325 NINTH AVE
SEATTLE WA
98104
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-5144
  • Fax:
Mailing address:
  • Phone: 206-744-5144
  • Fax: 206-744-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: