Provider Demographics
NPI:1770477705
Name:YUSUF, NADRA
Entity type:Individual
Prefix:
First Name:NADRA
Middle Name:
Last Name:YUSUF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15300 33RD AVE S APT N506
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5167
Mailing Address - Country:US
Mailing Address - Phone:206-840-8530
Mailing Address - Fax:
Practice Address - Street 1:15300 33RD AVE S APT N506
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-5167
Practice Address - Country:US
Practice Address - Phone:206-840-8530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter