Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP61164208 | WA |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP61164208 | WA |
NPI | 1023576931 |
---|---|
Provider Name | Ms. Sarah Y Welch |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-1139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2019 |
Last Update Date | 01/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023576931 | (05) | WA |
RN00131707 | WASHINGTON STATE DEPARTMENT OF HEALTH (01) | WA |