Individual
SVETLANA NADIROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
16818 140TH AVE NE, WOODINVILLE, WA 98072-9001
(206) 229-0086
Mailing address
1316 196TH PL SE, BOTHELL, WA 98012-6814
(425) 990-4280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61005896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61005896
WADOH
WA
Enumeration date
09/25/2019
Last updated
09/25/2019
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