person
Sarah Lee Devera Bolanos, REGISTEREDNURSE
Family Nurse Practitioner in Tacoma, Washington
NPI 1598253338

Sarah Lee Devera Bolanos is a Family Nurse Practitioner based in Puyallup, WA and is specialized in Family. Sarah Lee Devera Bolanos practices in Tacoma, WA and has the professional credentials of REGISTEREDNURSE. The NPI Number for Sarah Lee Devera Bolanos is 1598253338 and holds a License No. 95027622 (Washington).

The current practice location address for Sarah Lee Devera Bolanos is 9040 Jackson Ave Attn: Mchj-Clq-C, Tacoma, WA and can be reached out via phone at 253-968-1110.

Location: 9040 Jackson Ave Attn: Mchj-Clq-C, Tacoma, WA, 98374-6464
person
Provider Profile Details
NPI Number
1598253338
Provider Name
Sarah Lee Devera Bolanos
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Female
Address
9040 Jackson Ave Attn: Mchj-Clq-C, Tacoma, WA, 98374-6464
Phone Number
253-968-1110
Fax Number
Provider Enumeration Date
04/26/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave Attn: Mchj-Clq-C
City
State
Zip
98431-0001
Phone Number
253-968-1110
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave Attn: Mchj-Clq-C
City
State
Zip
98431-0001
Phone Number
253-968-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95027622 (California)
Definition
Definition to come...
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