| Doctor Name: | MS. SARA JENNIFER WEELBORG |
| NPI Number: | 1124008743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | AP30007111 |
| Business Practice Address: | 4240 Memory Ln W University Place, WA - 984661125 |
| Business Phone Number: | 3602868513 |
| Business Fax Number: | |
| Mailing Address: | 4240 Memory Ln W, UNIVERSITY PLACE |
| State: | WA |
| Postal Code: | 984661125 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 08/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | AP30007111 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |