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NPI Code Detail

MEDICARE: SARAH C SPENCER ARNP

MEDICARE: SARAH C SPENCER ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerAP30004257WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19643156OTHERWADSHS NUMBER

General Provider Information

NPI Number : 1336127299
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH C SPENCER ARNP
Provider Business Mailing Address
First Line : 1911 COOKS HILL RD
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-9073
Country : US
Telephone Number : 360-736-6778
Fax Number : 360-736-6552
Provider Business Practice Location Address
First Line : 1911 COOKS HILL RD
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-9073
Country : US
Telephone Number : 360-736-6778
Fax Number : 360-736-6552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2006
Last Update Date : 11/22/2011

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Directions to “ SARAH C SPENCER ARNP” Practice Location

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