Provider Demographics
NPI:1932365228
Name:SINGLETON, SARAH EICHENBERGER (APRN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:EICHENBERGER
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19917 7TH AVE NE
Mailing Address - Street 2:STE 203
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-6555
Mailing Address - Country:US
Mailing Address - Phone:360-824-5474
Mailing Address - Fax:360-994-4975
Practice Address - Street 1:1344 WINTERGREEN LN NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110
Practice Address - Country:US
Practice Address - Phone:206-842-5632
Practice Address - Fax:206-842-5992
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60105919363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01241133OtherRAILROAD MEDICARE
WA1932365228Medicaid
WAG8922905Medicare PIN
WA1932365228Medicaid
WAG8923488Medicare PIN