Individual
MISS SAHRA YUSUF ADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITONER
Contact information
Practice address
1112 S CUSHMAN AVE, TACOMA, WA 98405-3631
(253) 681-6626
Mailing address
1112 S CUSHMAN AVE, TACOMA, WA 98405-3631
(206) 763-5277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
61501577
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61501577
WA
Other
Enumeration date
12/04/2023
Last updated
07/05/2024
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