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Individual

SHADIA NOOR MOHAMUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, ARNP

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-8736
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-7263
(206) 543-8736

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60230803
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61130653
WA
363LA2200X
Adult Health Nurse Practitioner
AP61130653
WA

Other

Enumeration date
02/23/2020
Last updated
02/12/2021
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