Healthcare Provider Details
I. General information
NPI: 1841868288
Provider Name (Legal Business Name): SARA J MAURER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/13/2021
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19125 N CREEK PKWY STE 1202019
BOTHELL WA
98011-8035
US
IV. Provider business mailing address
PO BOX 2041
EVERETT WA
98213-0041
US
V. Phone/Fax
- Phone: 425-908-0123
- Fax:
- Phone: 425-908-0123
- Fax: 844-446-9742
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | AP61228342 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | RN00119977 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: