Healthcare Provider Details

I. General information

NPI: 1194147371
Provider Name (Legal Business Name): SARAH HEGGIE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 01/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 JIM CREEK RD
CAMANO ISLAND WA
98282-8583
US

IV. Provider business mailing address

266 JIM CREEK RD
CAMANO ISLAND WA
98282-8583
US

V. Phone/Fax

Practice location:
  • Phone: 425-330-0554
  • Fax:
Mailing address:
  • Phone: 425-330-0554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60437191
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: