Sulejmanovic-Bordeaux, Irma

Sulejmanovic-Bordeaux, Irma is an individual health care provider with primary practice located at 402 S 12Th Ave , Yakima WA 98902-3115. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Sulejmanovic-Bordeaux, Irma can be contacted via phone (509) 575-0114.

Contact Information

Primary practice address
402 S 12Th Ave Yakima WA 98902-3115
Phone: (509) 575-0114
Fax: (509) 575-0808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 111558 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60553295 Washington

Profile Details

NPI number 1902238553
LBN Legal business name Sulejmanovic-Bordeaux, Irma
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2013
Last updated Nov 19th, 2018 - about 7 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 1902238553 NPPES
Washington MEDICAID 2045286
Washington Other 0345640

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