Provider Demographics
NPI:1982164943
Name:HAMID, ARSALAN ABDUL (ARNP)
Entity Type:Individual
Prefix:
First Name:ARSALAN
Middle Name:ABDUL
Last Name:HAMID
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10541 NE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5023
Mailing Address - Country:US
Mailing Address - Phone:954-881-4151
Mailing Address - Fax:
Practice Address - Street 1:10541 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5023
Practice Address - Country:US
Practice Address - Phone:954-881-4151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-24
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11009355363LP0808X
FLRN9418900163W00000X
WAAP61114935363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty