Provider Demographics
NPI:1538753678
Name:NIEMELA, SARI ANNELI (RN)
Entity type:Individual
Prefix:
First Name:SARI
Middle Name:ANNELI
Last Name:NIEMELA
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 1:9454 TWIN TRAILS DR UNIT 106
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2631
Mailing Address - Country:US
Mailing Address - Phone:858-413-5605
Mailing Address - Fax:
Practice Address - Street 1:9454 TWIN TRAILS DR UNIT 106
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2631
Practice Address - Country:US
Practice Address - Phone:858-413-5605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-01
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA757366163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse