Provider Demographics
NPI:1427499169
Name:EPISTOLA, SARANAY SANTIAGO (ARNP)
Entity type:Individual
Prefix:
First Name:SARANAY
Middle Name:SANTIAGO
Last Name:EPISTOLA
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 1:30 BEACH LN SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-5703
Mailing Address - Country:US
Mailing Address - Phone:253-314-2206
Mailing Address - Fax:
Practice Address - Street 1:30 BEACH LN SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-5703
Practice Address - Country:US
Practice Address - Phone:253-314-2206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61576336363LP0808X
WARN00170407163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse