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

Tandi Shamallah

Individual provider Licensed Practical Nurse · NPI 1912826959

Tandi Shamallah is a Licensed Practical Nurse in Edgewood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

1909 104th Ave E Unit Q304
Edgewood, WA 98372-1674
Phone: (425) 616-6267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LP61569561 (WA)

Record details

NPI number1912826959
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2026
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1909 104th Ave E Unit Q304, Edgewood, WA 98372-1674

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