Provider Demographics
NPI:1538608492
Name:CREIGHTON, SARAH MARIE (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:CREIGHTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:FITCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6901 DELRIDGE WAY SW
Mailing Address - Street 2:APT A21
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106
Mailing Address - Country:US
Mailing Address - Phone:425-681-1396
Mailing Address - Fax:
Practice Address - Street 1:6901 DELRIDGE WAY SW
Practice Address - Street 2:APT A21
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-3318
Practice Address - Country:US
Practice Address - Phone:425-681-1396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60699634163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse