Provider Demographics
NPI:1588387476
Name:ST GERMAINE, SARAH (RN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:ST GERMAINE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 ROAD 54
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-2191
Mailing Address - Country:US
Mailing Address - Phone:509-380-1614
Mailing Address - Fax:
Practice Address - Street 1:1102 N 10TH AVE
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-4168
Practice Address - Country:US
Practice Address - Phone:509-547-2474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00175740163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse