Individual
SARAH VILLACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 215-1094
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 215-1094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60608201
WA
363LA2200X
Adult Health Nurse Practitioner
AP60608201
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60608201
WA
363LP2300X
Primary Care Nurse Practitioner
AP60608201
WA
Other
Enumeration date
10/28/2015
Last updated
01/18/2021
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