Provider Demographics
NPI:1023355088
Name:TEVELDE, SARAH K
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:K
Last Name:TEVELDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1961 CONIFER DR
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-9776
Mailing Address - Country:US
Mailing Address - Phone:360-778-1558
Mailing Address - Fax:
Practice Address - Street 1:1961 CONIFER DR
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:WA
Practice Address - Zip Code:98248-9776
Practice Address - Country:US
Practice Address - Phone:360-778-1558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula