MR. IBRAHIM ALI IBRAHIM ARNP
NPI 1255004180
Nurse Practitioner - Psychiatric/Mental Health in Renton, WA

Active since July 27, 2021
4702 DAVIS AVE S APT BB202, RENTON, WA 98055(206) 697-8181 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ibrahim Ali Ibrahim Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IBRAHIM ALI IBRAHIM ARNP (NPI 1255004180) is an individual psychiatric/mental health provider in Renton, Washington, licensed in Washington (61151275) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1255004180
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. IBRAHIM ALI IBRAHIMCredential: ARNP
Location Address4702 DAVIS AVE S APT BB202Renton, WA 98055-8239
Mailing Address4702 Davis Ave S Apt Bb202Renton, WA 98055-8239 · (206) 697-8181
Sole ProprietorNo
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
NPI 1255004180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · 61151275
4702 DAVIS AVE S APT BB202, Renton, WA 98055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ibrahim Ibrahim's NPI number?

The NPI number for Ibrahim Ibrahim is 1255004180. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Ibrahim Ibrahim located?

Ibrahim Ibrahim practices at 4702 Davis Ave S Apt Bb202, Renton, WA 98055. The listed phone number is (206) 697-8181.

What is Ibrahim Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ibrahim Ibrahim was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.