Provider Demographics
NPI:1134671662
Name:HUDA NP, PLLC
Entity Type:Organization
Organization Name:HUDA NP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PIRUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:206-851-6487
Mailing Address - Street 1:PO BOX 9774
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-0774
Mailing Address - Country:US
Mailing Address - Phone:206-851-6487
Mailing Address - Fax:
Practice Address - Street 1:2851 14TH AVE W
Practice Address - Street 2:#101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4606
Practice Address - Country:US
Practice Address - Phone:206-851-6487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPENDINGMedicare UPIN