Provider Demographics
NPI:1205313285
Name:ACHONYE, SARAH MOTHER
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MOTHER
Last Name:ACHONYE
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 1:17410 CHESTNUT TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-8592
Mailing Address - Country:US
Mailing Address - Phone:832-640-3971
Mailing Address - Fax:
Practice Address - Street 1:17410 CHESTNUT TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8592
Practice Address - Country:US
Practice Address - Phone:832-640-3971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX300312164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse