Provider Demographics
NPI:1598519761
Name:LEBO, SARAH HOLMES (ARNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HOLMES
Last Name:LEBO
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 1:5577 VANBARR PL
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-9555
Mailing Address - Country:US
Mailing Address - Phone:360-331-3343
Mailing Address - Fax:360-331-3373
Practice Address - Street 1:5577 VANBARR PL
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-9555
Practice Address - Country:US
Practice Address - Phone:360-331-3343
Practice Address - Fax:360-331-3373
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61546737363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily