Bahareh Amanishahrak

Individual provider Active NPI Home Health Registered Nurse · Kirkland, WA

NPI 1144064809 · NPPES record last updated Jun 19, 2024

Key facts

NPI
1144064809
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
RN60822558 (WA)
Practice address
11800 NE 128TH St Ste 200
Kirkland, WA 98034-7211
Phone
(425) 899-3300
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN60822558WAMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN60822558 WA Yes

Addresses

Primary practice location

11800 NE 128TH St Ste 200
Kirkland, WA 98034-7211

Mailing address

11800 NE 128TH St Ste 200
Kirkland, WA 98034-7211
Phone (425) 899-3300

Other providers in Kirkland, WA

All providers in Kirkland, WA · Home Health Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.