Healthcare Provider Details

I. General information

NPI: 1609542356
Provider Name (Legal Business Name): SARA STRYKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12615 E MISSION AVE STE 105
SPOKANE VALLEY WA
99216-1047
US

IV. Provider business mailing address

12615 E MISSION AVE STE 105
SPOKANE VALLEY WA
99216-1047
US

V. Phone/Fax

Practice location:
  • Phone: 509-795-2642
  • Fax: 877-794-0377
Mailing address:
  • Phone: 509-795-2642
  • Fax: 877-794-0377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61177229
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: