Provider Demographics
NPI:1104178961
Name:ERNY, SARAH ANNE (NP FURNISHING)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:ERNY
Suffix:
Gender:F
Credentials:NP FURNISHING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1484 GLEN COVE LN
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-5028
Mailing Address - Country:US
Mailing Address - Phone:360-961-8687
Mailing Address - Fax:805-301-5891
Practice Address - Street 1:1486 ELECTRIC AVE STE 103
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-2410
Practice Address - Country:US
Practice Address - Phone:360-778-2557
Practice Address - Fax:360-810-5842
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-03
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22500207QA0505X
WAAP61386415207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine