Provider Demographics
NPI:1285800177
Name:SANDRA SAFFRAN ARNP PHD HEALTHCARE ASSOCIATES PC
Entity type:Organization
Organization Name:SANDRA SAFFRAN ARNP PHD HEALTHCARE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP, PHD
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SAFFRAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, PHD
Authorized Official - Phone:509-452-2404
Mailing Address - Street 1:4601 TIETON DR
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3477
Mailing Address - Country:US
Mailing Address - Phone:509-452-2404
Mailing Address - Fax:509-452-2409
Practice Address - Street 1:4601 TIETON DR
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3477
Practice Address - Country:US
Practice Address - Phone:509-452-2404
Practice Address - Fax:509-452-2409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005001364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8851550Medicare PIN
WAP57883Medicare UPIN