person
Sara Derenge, ARNP
Women's Health Nurse Practitioner in Longview, Washington
NPI 1053326934

Sara Derenge is a Women's Health Nurse Practitioner based in Longview, WA and is specialized in Women's Health. Sara Derenge practices in Longview, WA and has the professional credentials of ARNP. The NPI Number for Sara Derenge is 1053326934 and holds a License No. RN00142323 (Washington).

The current practice location address for Sara Derenge is 1057 12Th Ave, Longview, WA and can be reached out via phone at 360-636-3892 and via fax at 360-414-1114. You can also correspond with Sara Derenge through the mailing address at 1057 12TH AVE, LONGVIEW, WA - 98632-2509 (mailing address contact number: 360-636-3892).

Location: 1057 12Th Ave, Longview, WA, 98632-2509
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Provider Profile Details
NPI Number
1053326934
Provider Name
Sara Derenge
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1057 12Th Ave, Longview, WA, 98632-2509
Phone Number
360-636-3892
Fax Number
360-414-1114
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9632449 05 WA
institution
Provider Business Practice Location Address Details
Address
1057 12Th Ave
City
State
Zip
98632-2509
Phone Number
360-636-3892
Fax Number
360-414-1114
person
Provider Business Mailing Address Details
Address
1057 12Th Ave
City
State
Zip
98632-2509
Phone Number
360-636-3892
Fax Number
360-414-1114
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
AP30005950 (Washington)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
RN00142323 (Washington)
Definition
Definition to come...
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