Provider Type Icon

YAZDI PRIMARY HEALTHCARE PLLC NPI 1629491360


NPI Information

NPI: 1629491360
Provider Name: YAZDI PRIMARY HEALTHCARE PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4901 108TH ST SW
LAKEWOOD, WA
ZIP 98499
Phone: (253) 589-6484
Get Directions

YAZDI PRIMARY HEALTHCARE PLLC is a family nurse practitioner in Lakewood, WA. YAZDI PRIMARY HEALTHCARE PLLC NPI is 1629491360. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4901 108TH ST SW
LAKEWOOD, WA
ZIP 98499-724
Phone: (253) 589-6484
Fax: (253) 984-1079

The provider's authorized official is Maryam Mostaghni Yazdi .
The authorized official title is Member and has the following contact phone number (360) 981-9705.

The enumeration date for this NPI number is 1/31/2014 and was last updated on 10/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP60308453WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.