Provider Demographics
NPI:1245696145
Name:VAN LIEROP, SARAH (RN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:VAN LIEROP
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 1:6812 MERIDIAN RD SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-6302
Mailing Address - Country:US
Mailing Address - Phone:931-703-3638
Mailing Address - Fax:
Practice Address - Street 1:9101 56TH ST W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98467-1506
Practice Address - Country:US
Practice Address - Phone:253-566-5650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60491421163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse