Provider Demographics
NPI:1902132525
Name:FLEMING, SARA ALICIA (ND)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:ALICIA
Last Name:FLEMING
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3529 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-1759
Mailing Address - Country:US
Mailing Address - Phone:608-332-8204
Mailing Address - Fax:
Practice Address - Street 1:3529 CROSS ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-1759
Practice Address - Country:US
Practice Address - Phone:608-332-8204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001622175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath