Provider Demographics
NPI:1548808892
Name:IGNELZI, SARAH PATRICIA (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:PATRICIA
Last Name:IGNELZI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 GOLFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9418
Mailing Address - Country:US
Mailing Address - Phone:412-596-9518
Mailing Address - Fax:
Practice Address - Street 1:370 GOLFSIDE DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9418
Practice Address - Country:US
Practice Address - Phone:412-596-9518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN664996163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse