Provider Demographics
NPI:1194297994
Name:GARRETT, ARICA SANDS (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ARICA
Middle Name:SANDS
Last Name:GARRETT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 5TH ST SE STE 3400
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-4638
Mailing Address - Country:US
Mailing Address - Phone:253-697-4740
Mailing Address - Fax:
Practice Address - Street 1:1450 5TH ST SE STE 3400
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-4638
Practice Address - Country:US
Practice Address - Phone:253-697-4740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-18
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60899460363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health