Healthcare Provider Details

I. General information

NPI: 1598519761
Provider Name (Legal Business Name): SARAH HOLMES LEBO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5577 VANBARR PL
FREELAND WA
98249-9555
US

IV. Provider business mailing address

5577 VANBARR PL
FREELAND WA
98249-9555
US

V. Phone/Fax

Practice location:
  • Phone: 360-331-3343
  • Fax: 360-331-3373
Mailing address:
  • Phone: 360-331-3343
  • Fax: 360-331-3373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61546737
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: