# NURSE PRACTITIONERS NORTHWEST, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790014223
- **Authorized official:** MARGARET ELVIRA SACKMANN ARNP (OWNER)
- **Authorized official phone:** (253) 797-6239

## Contact information

- **Practice address:** 5115 BEVERLY AVENUE NE, TACOMA, WA 98422-1823
- **Practice address phone:** (253) 797-6239
- **Practice address fax:** (253) 927-2119
- **Mailing address:** PO BOX 23838, FEDERAL WAY, WA 98093-0838
- **Mailing address phone:** (253) 797-6239
- **Mailing address fax:** (253) 927-2119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | AP30001790 | WA | Yes |

## Other

- **Enumeration date:** 12/11/2009
- **Last updated:** 07/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2005946 | — | WA |