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NANDI SEBOULISA LMP
NPI 1316139470
Specialist in Tacoma, WA

Active since August 13, 2007
1101 N 12TH ST, #3, TACOMA, WA 98403(253) 468-4210(253) 627-3433 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nandi Seboulisa Lmp NPPES

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

NANDI SEBOULISA LMP (NPI 1316139470) is an individual specialist in Tacoma, Washington, licensed in Washington (MA00015108) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1316139470
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameNANDI SEBOULISACredential: LMP
Location Address1101 N 12TH ST, #3Tacoma, WA 98403-1801
Mailing Address1101 N 12th St, #3Tacoma, WA 98403-1801 · (253) 468-4210 · Fax (253) 627-3433
Phone(253) 468-4210
Fax(253) 627-3433
Sole ProprietorYes
Enumeration DateAugust 13, 2007
Last NPPES UpdateMarch 19, 2009
✔ NPI 1316139470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MA00015108
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1101 N 12TH ST, Tacoma, WA 98403
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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 Nandi Seboulisa's NPI number?

The NPI number for Nandi Seboulisa is 1316139470. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Nandi Seboulisa located?

Nandi Seboulisa practices at 1101 N 12th St #3, Tacoma, WA 98403. The listed phone number is (253) 468-4210.

What is Nandi Seboulisa's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Nandi Seboulisa was last updated on March 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.