Provider Demographics
NPI:1598590549
Name:SAEDAY, SUMMEYA
Entity type:Individual
Prefix:
First Name:SUMMEYA
Middle Name:
Last Name:SAEDAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5309 VILLAGE PARK DR SE APT 1613
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-6623
Mailing Address - Country:US
Mailing Address - Phone:408-816-9333
Mailing Address - Fax:
Practice Address - Street 1:1110 112TH AVE NE STE 10098004
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4509
Practice Address - Country:US
Practice Address - Phone:425-688-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61322086163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse