Provider Demographics
NPI:1528026937
Name:RAFII-MALEK, SIMA (ARNP)
Entity Type:Individual
Prefix:
First Name:SIMA
Middle Name:
Last Name:RAFII-MALEK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13317 NE 175TH ST STE N
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-3517
Mailing Address - Country:US
Mailing Address - Phone:425-398-2700
Mailing Address - Fax:425-398-2770
Practice Address - Street 1:13317 NE 175TH ST STE N
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-3517
Practice Address - Country:US
Practice Address - Phone:425-398-2700
Practice Address - Fax:425-398-2770
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003216363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP73544Medicare UPIN
WAP00761313Medicare PIN
WAAB33582Medicare PIN