Provider Demographics
NPI:1639888787
Name:NADOYAN, NADEZHDA I
Entity Type:Individual
Prefix:MRS
First Name:NADEZHDA
Middle Name:I
Last Name:NADOYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NADEZHDA
Other - Middle Name:I
Other - Last Name:KOZUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12012 SE 314TH PL
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-5103
Mailing Address - Country:US
Mailing Address - Phone:206-453-8044
Mailing Address - Fax:
Practice Address - Street 1:1200 INTREPID AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19112-1229
Practice Address - Country:US
Practice Address - Phone:800-748-3243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61344268163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice