Provider Demographics
NPI:1366491961
Name:SAX, KARRIN WILHELMINA (WOMENS HEALTH NURSE)
Entity Type:Individual
Prefix:MRS
First Name:KARRIN
Middle Name:WILHELMINA
Last Name:SAX
Suffix:
Gender:F
Credentials:WOMENS HEALTH NURSE
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Mailing Address - Street 1:75 CLAREMONT ST
Mailing Address - Street 2:SUITE A NORTHWEST WOMENS HEALTH CARE
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3500
Mailing Address - Country:US
Mailing Address - Phone:406-752-8282
Mailing Address - Fax:406-257-2225
Practice Address - Street 1:75 CLAREMONT ST
Practice Address - Street 2:SUITE A NORTHWEST WOMENS HEALTH CARE
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3500
Practice Address - Country:US
Practice Address - Phone:406-752-8282
Practice Address - Fax:406-257-2225
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2008-01-03
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Provider Licenses
StateLicense IDTaxonomies
MTRN25114363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT4307409Medicaid
MT4307409Medicaid