Jahanshahi, Trudy Theresa

Jahanshahi, Trudy Theresa is an individual health care provider with primary practice located at 13501 Ne 28Th St , Vancouver WA 98682-8091. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Jahanshahi, Trudy Theresa can be contacted via phone (360) 604-6704.

Contact Information

Primary practice address
13501 Ne 28Th St Vancouver WA 98682-8091
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN00112019 Washington

Profile Details

NPI number 1689134942
LBN Legal business name Jahanshahi, Trudy Theresa
Credentials SCHOOL NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2019
Last updated Mar 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689134942 NPPES
Washington MEDICAID 1245311141

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