Provider Demographics
NPI:1700216025
Name:MPARE, SARAH ALICE (FNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ALICE
Last Name:MPARE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17612 NE 30TH PL
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5760
Mailing Address - Country:US
Mailing Address - Phone:509-879-3788
Mailing Address - Fax:425-968-5400
Practice Address - Street 1:17612 NE 30TH PL
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5760
Practice Address - Country:US
Practice Address - Phone:509-879-3788
Practice Address - Fax:425-968-5400
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60417507363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily