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

Nisma Ibrahim, MSN, FNP-C

Individual provider Nurse Practitioner · NPI 1710875257

Nisma Ibrahim, MSN, FNP-C is a Nurse Practitioner in Renton, Washington. Qualified in 2023, 3 years ago. Practices with Fandm Healthcare, LLC, a 29-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
3
Licensed in
CA, WA
In the registry since
2025
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2101 SW Sunset Blvd Apt E401
Renton, WA 98057-6140
Phone: (714) 483-2104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP70033558 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95189029 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN61543424 (WA)

Record details

NPI number1710875257
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorYes
NPI enumeratedJune 24, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fandm Healthcare, Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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