Ericksen, Sally Mae

Ericksen, Sally Mae is an individual health care provider with primary practice located at 5814 Graham Ave Ste 100 , Sumner WA 98390-2728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ericksen, Sally Mae can be contacted via phone (253) 891-4750.

Contact Information

Primary practice address
5814 Graham Ave Ste 100 Sumner WA 98390-2728
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60182080 Washington

Profile Details

NPI number 1528375284
LBN Legal business name Ericksen, Sally Mae
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2010
Last updated Nov 22nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers