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Individual

SARA R HUSARIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1706 MERIDIAN S, SUITE 120, PUYALLUP, WA 98371-7516
(253) 848-8797
(253) 446-3239
Mailing address
1706 MERIDIAN S, SUITE 120, PUYALLUP, WA 98371-7516
(253) 848-8797
(253) 446-3239

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00126475
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP3004299
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1018068
DSHS NUMBER
WA
Enumeration date
01/02/2006
Last updated
11/10/2011
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