Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
Y | 363L00000X | Nurse Practitioner | AP30007158 | WA |
N | 363LC1500X | Nurse Practitioner - Community Health | AP30007158 | WA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP30007158 | WA |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP30007158 | WA |
N | 363LP2300X | Nurse Practitioner - Primary Care | AP30007158 | WA |
NPI | 1205886892 |
---|---|
Provider Name | Sandra M Clauson |
First Address | Tacoma, WA 98405-4234 |
Second Address | Tacoma, WA 98405-4234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 16/08/2011 |