Yasir Ahmed, RN
Individual provider Active NPI Registered Nurse · Kent, WA
NPI 1497360333 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1497360333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN60906128 (WA)
- Practice address
- 505 Washington Ave S
Kent, WA 98032-5709 - Phone
- (253) 833-7444
- NPI assigned
- Sep 8, 2020
- Sex
- Male
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60906128 | WA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60906128 | WA | Yes |
Addresses
Primary practice location
505 Washington Ave S
Kent, WA 98032-5709
Mailing address
325 W Gowe St
Kent, WA 98032-5892
Phone (253) 833-7444
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.