Provider Demographics
NPI:1164228862
Name:EDWARDS, SARAH (CBD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12725 S GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:MI
Mailing Address - Zip Code:49868-7954
Mailing Address - Country:US
Mailing Address - Phone:906-322-1335
Mailing Address - Fax:
Practice Address - Street 1:12725 S GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:MI
Practice Address - Zip Code:49868-7954
Practice Address - Country:US
Practice Address - Phone:906-322-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILSD1157374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula