SARAH LEE DEVERA BOLANOS REGISTERED NURSE NPI 1598253338

NPI Information

NPI: 1598253338
Provider Name: SARAH LEE DEVERA BOLANOS, REGISTERED NURSE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA
ZIP 98431
Phone: (253) 968-1110
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Sarah Lee Devera Bolanos, REGISTERED NURSE is a family nurse practitioner in Tacoma, WA. Sarah Lee Devera Bolanos, REGISTERED NURSE NPI is 1598253338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-1110

The enumeration date for this NPI number is 4/26/2018 and was last updated on 3/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95027622	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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