Provider Demographics
NPI:1518716372
Name:HUSSEIN, FARTUN MOHAMED
Entity type:Individual
Prefix:MS
First Name:FARTUN
Middle Name:MOHAMED
Last Name:HUSSEIN
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 1:11235 1ST AVE S APT C311
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98168-2585
Mailing Address - Country:US
Mailing Address - Phone:206-502-3891
Mailing Address - Fax:
Practice Address - Street 1:11235 1ST AVE S APT C311
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98168-2585
Practice Address - Country:US
Practice Address - Phone:206-502-3891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWDL468N9603B374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula