Provider Demographics
NPI:1275057895
Name:EMEDI, SARA KRISTINA (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:KRISTINA
Last Name:EMEDI
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1876 STANHOPE ST
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1906
Mailing Address - Country:US
Mailing Address - Phone:586-219-9297
Mailing Address - Fax:
Practice Address - Street 1:606 OAKESDALE AVE SW STE C200
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5227
Practice Address - Country:US
Practice Address - Phone:855-396-9643
Practice Address - Fax:855-998-4362
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704242092363LF0000X
WAAP61550102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily