Sarah Boden, RN

Individual provider Active NPI Community Health Registered Nurse · Veradale, WA

NPI 1811577620 · NPPES record last updated Apr 14, 2021

Key facts

NPI
1811577620
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN00135146 (WA)
Practice address
15017 E Bella Vista Dr
Veradale, WA 99037-9156
Phone
(509) 434-4473
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00135146WAMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN00135146 WA Yes

Addresses

Primary practice location

15017 E Bella Vista Dr
Veradale, WA 99037-9156

Mailing address

15017 E Bella Vista Dr
Veradale, WA 99037-9156
Phone (509) 434-4473

Other names

  • Sarah Noetzelman Former name

Other providers in Veradale, WA

All providers in Veradale, WA · Community Health Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.