Provider Demographics
NPI:1518475631
Name:AGTARAP, SARAH REMORCA (ARNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:REMORCA
Last Name:AGTARAP
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 13TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1419
Mailing Address - Country:US
Mailing Address - Phone:206-302-8307
Mailing Address - Fax:
Practice Address - Street 1:175 1ST PL NW STE A
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2746
Practice Address - Country:US
Practice Address - Phone:425-651-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60720344363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics