Provider Demographics
NPI:1447696083
Name:ROBSON, SARA KATHERINE
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:KATHERINE
Last Name:ROBSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9925 NE 204TH PL
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2344
Mailing Address - Country:US
Mailing Address - Phone:425-205-8044
Mailing Address - Fax:
Practice Address - Street 1:9925 NE 204TH PL
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-2344
Practice Address - Country:US
Practice Address - Phone:425-205-8044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60198193163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse