Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malick Krubally, STUDENTINPROGRAM

Individual provider Registered Nurse · NPI 1144106204

Malick Krubally, STUDENTINPROGRAM is a Registered Nurse in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

1959 NE Pacific St
Seattle, WA 98195-0001
Phone: (425) 420-0915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 60265498 (WA)

Record details

NPI number1144106204
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENTINPROGRAM
Sole proprietorNo
NPI enumeratedAugust 14, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address20128 61st Pl W, Lynnwood, WA 98036-6014

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