Provider Demographics
NPI:1639264245
Name:TEMPLIN, SARAH (ARNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TEMPLIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:HESSELTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1624 S I ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-5016
Mailing Address - Country:US
Mailing Address - Phone:253-428-8700
Mailing Address - Fax:253-383-3376
Practice Address - Street 1:1624 S I ST
Practice Address - Street 2:SUITE 402
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-5016
Practice Address - Country:US
Practice Address - Phone:253-627-4123
Practice Address - Fax:253-624-0714
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00157003163W00000X
WAAP30007440363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0213957OtherSTATE L&I
WA9650508Medicaid
WA8854623OtherSTATE CRIME VICTIMS
WA8943486OtherSTATE CRIME VICTIMS
WAG8915722Medicare PIN
WA0213957OtherSTATE L&I
WA8854623OtherSTATE CRIME VICTIMS
WAG8863320Medicare PIN