Provider Demographics
NPI:1285103358
Name:MAHARJAN, SITA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:SITA
Middle Name:
Last Name:MAHARJAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19230 ALDERWOOD MALL PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4869
Mailing Address - Country:US
Mailing Address - Phone:206-486-1890
Mailing Address - Fax:
Practice Address - Street 1:19230 ALDERWOOD MALL PKWY STE 120
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4869
Practice Address - Country:US
Practice Address - Phone:206-486-1890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60905098363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily