Provider Demographics
NPI:1962114058
Name:AYAN MATERNITY HEALTH CARE SUPPORT
Entity type:Organization
Organization Name:AYAN MATERNITY HEALTH CARE SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AYAN
Authorized Official - Middle Name:ABDUREZAK
Authorized Official - Last Name:ABDULAHI
Authorized Official - Suffix:SR
Authorized Official - Credentials:FOUNDER
Authorized Official - Phone:425-305-7377
Mailing Address - Street 1:721 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-9997
Mailing Address - Country:US
Mailing Address - Phone:425-305-7377
Mailing Address - Fax:425-305-7377
Practice Address - Street 1:9916 NE 126TH ST APT G3
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-0910
Practice Address - Country:US
Practice Address - Phone:206-619-9454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty