Provider Demographics
NPI:1356888465
Name:VAJUSHI, ARTUR (LPN)
Entity type:Individual
Prefix:MR
First Name:ARTUR
Middle Name:
Last Name:VAJUSHI
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19723 48TH AVE W
Mailing Address - Street 2:APT G3
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5568
Mailing Address - Country:US
Mailing Address - Phone:206-250-2109
Mailing Address - Fax:
Practice Address - Street 1:19723 48TH AVE W
Practice Address - Street 2:APT G3
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5568
Practice Address - Country:US
Practice Address - Phone:206-250-2109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00059366164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse