MITIN ATLABACHEW FNP NPI 1417706458

NPI Information

  • NPI: 1417706458
  • Provider Name: MITIN ATLABACHEW, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7024 EVERGREEN WAY STE A
    EVERETT, WA
    ZIP 98203
  • Phone: (360) 863-6696

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NPI Details

Mitin Atlabachew, FNP is a family nurse practitioner in Everett, WA with 7 years of experience. Mitin Atlabachew, FNP NPI is 1417706458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UN OF BRITISH COLUMBIA, FACULTY OF MEDICINE
Graduation Year:2019

The provider's business location address is:

7024 EVERGREEN WAY STE A
EVERETT, WA
ZIP 98203-175
Phone: (360) 863-6696

The NPI 1417706458 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/14/2024 and was last updated on 5/14/2024.

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 PractitionerFamilyAP61403041WASHINGTONYes

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: 11/21/2025

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