Individual
SARA R HUSARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
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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