Healthcare Provider Details

I. General information

NPI: 1114033149
Provider Name (Legal Business Name): SARAH LEAH BLUM ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 O ST NE
AUBURN WA
98002-4645
US

IV. Provider business mailing address

303 O ST NE
AUBURN WA
98002-4645
US

V. Phone/Fax

Practice location:
  • Phone: 253-939-8796
  • Fax: 253-735-4445
Mailing address:
  • Phone: 253-939-8796
  • Fax: 253-735-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN00046618
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberAP30004911
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: