Individual
SARAH BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN61575707
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61590512
WA
Other
Enumeration date
07/10/2024
Last updated
11/14/2024
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