Healthcare Provider Details

I. General information

NPI: 1699814921
Provider Name (Legal Business Name): SANDRA M CAIN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA MARIE DAILY CAIN

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 I ST NE
AUBURN WA
98002-2411
US

IV. Provider business mailing address

13614 NE 103RD ST
KIRKLAND WA
98033-5290
US

V. Phone/Fax

Practice location:
  • Phone: 253-833-7444
  • Fax: 253-735-4111
Mailing address:
  • Phone: 425-827-8243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN025801
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: