Provider Demographics
NPI:1982426409
Name:BARROW, MUHAMMED L (LPN)
Entity type:Individual
Prefix:
First Name:MUHAMMED
Middle Name:L
Last Name:BARROW
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 111TH DR SE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-8247
Mailing Address - Country:US
Mailing Address - Phone:206-714-1311
Mailing Address - Fax:
Practice Address - Street 1:1640 148TH AVE SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-6825
Practice Address - Country:US
Practice Address - Phone:425-373-1161
Practice Address - Fax:425-373-1662
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP60258259164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse