Individual
SIRENA S SAGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6240 TACOMA MALL BLVD, TACOMA, WA 98409-6819
(253) 271-9720
Mailing address
3455 RINGSBY CT STE 101C, DENVER, CO 80216-4923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61285625
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61285625
WA SATE
WA
Enumeration date
04/14/2022
Last updated
04/14/2022
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