MS. SARAH WALLIS MSN CNM WHNP-BC
NPI 1063794659
Nurse Practitioner - Women's Health in Los Altos Hills, CA

Q: What is Sarah Wallis's NPI number?

The NPI number for Sarah Wallis is 1063794659. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Q: What is Sarah Wallis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Wallis was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2011

14355 MIRANDA WAY, LOS ALTOS HILLS, CA 94022(888) 731-8994(833) 775-1861 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2023, Dec 16, 2016 (2 updates tracked since 2016).

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About Ms. Sarah Wallis Msn Cnm Whnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SARAH WALLIS MSN CNM WHNP-BC (NPI 1063794659) is an individual women's health provider in Los Altos Hills, California, licensed in Michigan (4704362422) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1063794659

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMS. SARAH WALLISCredential: MSN CNM WHNP-BC

Location Address14355 MIRANDA WAYLos Altos Hills, CA 94022-2032

Mailing Address7990 N Beck RdCanton, MI 48187-1204 · (732) 456-6262 · Fax (732) 626-6579

Phone(888) 731-8994

Fax(833) 775-1861

Sole ProprietorNo

Enumeration DateSeptember 9, 2011

Last NPPES UpdateMay 25, 20232 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1063794659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

Licenses✔ Licensed in MI · 4704362422✔ Licensed in CA · 707787

14355 MIRANDA WAY, Los Altos Hills, CA 94022

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYRIAM ROWLAND

Nurse Practitioner (Family)