Provider Demographics
NPI:1093442485
Name:WILLIAMSON, SARIAH JEAN (BSN, RN)
Entity Type:Individual
Prefix:
First Name:SARIAH
Middle Name:JEAN
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41282 W HENSLEY WAY
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-5908
Mailing Address - Country:US
Mailing Address - Phone:602-918-7159
Mailing Address - Fax:
Practice Address - Street 1:41282 W HENSLEY WAY
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-5908
Practice Address - Country:US
Practice Address - Phone:602-918-7159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN205712163WH0200X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN205712OtherARIZONA STATE BOARD OF NURSING