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NPI Code Detail

MEDICARE: BREANNA NICOLE SARFF BS

MEDICARE: BREANNA NICOLE SARFF BS
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCG61180507WA
2101Y00000XCounselorCG61180507WA

General Provider Information

NPI Number : 1689248726
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA NICOLE SARFF BS
Provider Business Mailing Address
First Line : PO BOX 2569
Second Line :
City : EVERETT
State : WA
Zip : 98213-0569
Country : US
Telephone Number : 425-212-4200
Fax Number : 425-212-4201
Provider Business Practice Location Address
First Line : 811 MADISON ST
Second Line :
City : EVERETT
State : WA
Zip : 98203-4543
Country : US
Telephone Number : 425-212-4200
Fax Number : 425-212-4201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2021
Last Update Date : 03/28/2026

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Directions to “ BREANNA NICOLE SARFF BS” Practice Location

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