Provider Demographics
NPI:1487781092
Name:NEUMANN, SARAH E (PA-C)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:E
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:783 W BLUEBIRD DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-2611
Mailing Address - Country:US
Mailing Address - Phone:480-516-7115
Mailing Address - Fax:
Practice Address - Street 1:4425 E AGAVE RD
Practice Address - Street 2:148
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-0619
Practice Address - Country:US
Practice Address - Phone:480-785-7546
Practice Address - Fax:480-704-7549
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ2590363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ139117Medicare PIN