Provider Demographics
NPI:1609392653
Name:BAYO, MOHAMMED (NUSING ASSISTANT-REG)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:
Last Name:BAYO
Suffix:
Gender:M
Credentials:NUSING ASSISTANT-REG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9217 4TH AVE W
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-7127
Mailing Address - Country:US
Mailing Address - Phone:425-903-4476
Mailing Address - Fax:
Practice Address - Street 1:9217 4TH AVE. WEST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204
Practice Address - Country:US
Practice Address - Phone:425-903-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00123773376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide