MEDICARE: SARAH DAWN WHITEHEAD 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
1	363L00000X	Nurse Practitioner	AP60291451	WA

General Provider Information

NPI Number	:	1578826426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DAWN WHITEHEAD ARNP

Provider Business Mailing Address
First Line	:	6075 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1612
Country	:	US
Telephone Number	:	206-979-4459
Fax Number	:	206-970-5280

Provider Business Practice Location Address
First Line	:	6075 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1612
Country	:	US
Telephone Number	:	206-979-4459
Fax Number	:	206-970-5280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	12/03/2025

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