Provider Demographics
NPI:1982474441
Name:RAJASAARI, ALLYCIN (APRN)
Entity type:Individual
Prefix:
First Name:ALLYCIN
Middle Name:
Last Name:RAJASAARI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 116TH AVE NE STE 630
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4623
Mailing Address - Country:US
Mailing Address - Phone:425-453-2229
Mailing Address - Fax:
Practice Address - Street 1:1135 116TH AVE NE STE 630
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-4623
Practice Address - Country:US
Practice Address - Phone:425-453-2229
Practice Address - Fax:425-300-6778
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030415363LF0000X
WAAP61534481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily