Individual provider · Type 1 NPI

Tandi Shamallah

Licensed Practical Nurse · Edgewood, WA

NPI number 1912826959 Active

Practice location

1909 104th Ave E Unit Q304
Edgewood, WA 98372-1674

Call (425) 616-6267 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP61569561 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1912826959

Tandi Shamallah's National Provider Identifier is 1912826959, issued on Jul 14, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Edgewood, WA. The record was last updated on Jul 14, 2026.