Individual provider · NPI-1

Sahra Yusuf Adan, Nurse Practitoner

Nurse Practitioner, Family · Tacoma, WA

NPI number1407623135
StatusActive
Last updated in NPPESJul 5, 2024

Details

NPI
1407623135
Entity type
Individual (NPI-1)
Name
Miss Sahra Yusuf Adan
Credential
Nurse Practitoner
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2023
Certification date
Jul 5, 2024
Last updated
Jul 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP61501577WAYes
207Q00000X Family Medicine61501577WA

Practice location

1112 S Cushman Ave
Tacoma, WA 98405-3631

Phone 253-681-6626

Mailing address

1112 S Cushman Ave
Tacoma, WA 98405-3631

Phone 206-763-5277

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