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NPI Code Detail

MEDICARE: SARAH ELIZABETH BOISEN MSN, RN

MEDICARE: SARAH ELIZABETH BOISEN MSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist30692SC
2163WC0200XCritical Care Medicine Registered Nurse283952SC
3367500000XCertified Registered Nurse Anesthetist153790SC

General Provider Information

NPI Number : 1619697935
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH BOISEN MSN, RN
Provider Business Mailing Address
First Line : 4775 BEACH DR SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-4340
Country : US
Telephone Number : 907-830-1425
Fax Number :
Provider Business Practice Location Address
First Line : 7 INDEPENDENCE PT STE 300
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4569
Country : US
Telephone Number : 864-522-3700
Fax Number : 864-522-3705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 02/10/2026

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