Doctor Name: | MRS. SARA BETH EDGE |
NPI Number: | 1003967720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30007574 |
Business Practice Address: | 910 W 5th Ave Ste 510 Spokane, WA - 99204 |
Business Phone Number: | 5097471055 |
Business Fax Number: | 5097477984 |
Mailing Address: | 910 W 5th Ave, Ste 510 SPOKANE |
State: | WA |
Postal Code: | 99204 |
Phone Number: | 5097471055 |
Fax Number: | 5097477984 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | AP30007574 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |