Provider Demographics
NPI:1679811574
Name:ANDREW, SARAH RUTH (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:RUTH
Last Name:ANDREW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7707 112TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-4794
Mailing Address - Country:US
Mailing Address - Phone:253-604-3234
Mailing Address - Fax:253-840-8885
Practice Address - Street 1:7707 112TH ST E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-4794
Practice Address - Country:US
Practice Address - Phone:253-604-3234
Practice Address - Fax:253-840-8885
Is Sole Proprietor?:No
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00096428163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool