Healthcare Provider Details
I. General information
NPI: 1700016391
Provider Name (Legal Business Name): NILUFER B NORSWORTHY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/17/2009
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1560 N 115TH ST SUITE 201
SEATTLE WA
98133-8414
US
IV. Provider business mailing address
2829 140TH AVE NE
BELLEVUE WA
98005-1826
US
V. Phone/Fax
- Phone: 206-368-1244
- Fax: 206-368-1270
- Phone: 713-868-8006
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | MD 60092323 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | MD 60092323 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | MD 60092323 |
| License Number State | WA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | MD 60092323 |
| License Number State | WA |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | MD60092323 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: