Provider Demographics
NPI:1831799048
Name:WEERHEIM, SARAH LOUISE (MSN, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LOUISE
Last Name:WEERHEIM
Suffix:
Gender:F
Credentials:MSN, PMHNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LOUISE
Other - Last Name:COLBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2727 HOLLYCROFT ST STE 110V
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1371
Mailing Address - Country:US
Mailing Address - Phone:253-358-3143
Mailing Address - Fax:253-514-6239
Practice Address - Street 1:2727 HOLLYCROFT ST STE 110V
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1371
Practice Address - Country:US
Practice Address - Phone:253-358-3143
Practice Address - Fax:253-514-6239
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61092610363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty