Provider Demographics
NPI:1841868288
Name:MAURER, SARA J (ARNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:MAURER
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 1:10634 E RIVERSIDE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3758
Mailing Address - Country:US
Mailing Address - Phone:206-934-9110
Mailing Address - Fax:
Practice Address - Street 1:16824 44TH AVE W STE 170
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-3117
Practice Address - Country:US
Practice Address - Phone:425-908-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-13
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00119977163WP0808X
WAAP61228342363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health