Provider Demographics
NPI:1629885371
Name:SARANAY S EPISTOLA LLC
Entity type:Organization
Organization Name:SARANAY S EPISTOLA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARANAY
Authorized Official - Middle Name:SANTIAGO
Authorized Official - Last Name:EPISTOLA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-314-2206
Mailing Address - Street 1:30 BEACH LN SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-5703
Mailing Address - Country:US
Mailing Address - Phone:253-314-2206
Mailing Address - Fax:
Practice Address - Street 1:30 BEACH LN SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-5703
Practice Address - Country:US
Practice Address - Phone:253-314-2206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty