Healthcare Provider Details

I. General information

NPI: 1235728981
Provider Name (Legal Business Name): SANIA MARRI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2021
Last Update Date: 02/20/2024
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 M.L.K. JR WAY
TACOMA WA
98405
US

IV. Provider business mailing address

315 MLK JR WAY
TACOMA WA
98405-7462
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-8327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61449491
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60859467
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: