Samardzic, Sanela
Samardzic, Sanela is an individual health care provider with primary practice located at 12911 120Th Ave Ne Suite H-210, Kirkland WA 98034-3027. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Samardzic, Sanela can be contacted via phone (425) 823-4000.Contact Information
Primary practice address
12911 120Th Ave Ne Suite H-210
Kirkland WA 98034-3027
Phone: (425) 823-4000
Fax: (425) 821-3550
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60188654 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60188654 | Washington |
Profile Details
NPI number | 1730480153 |
---|---|
LBN Legal business name | Samardzic, Sanela |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2010 |
Last updated | Nov 8th, 2016 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730480153 | NPPES |
Washington | MEDICAID | 2011187 | |
Washington | Other | G8959157 | |
Washington | Other | G8959158 |
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