Provider Demographics
NPI:1629801824
Name:WEBB, SARAH LYNNE (PSS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNNE
Last Name:WEBB
Suffix:
Gender:F
Credentials:PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1646
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:AZ
Mailing Address - Zip Code:85936-1646
Mailing Address - Country:US
Mailing Address - Phone:928-270-8945
Mailing Address - Fax:
Practice Address - Street 1:252 E 5TH ST # 44
Practice Address - Street 2:
Practice Address - City:EAGAR
Practice Address - State:AZ
Practice Address - Zip Code:85925-1320
Practice Address - Country:US
Practice Address - Phone:928-270-8945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist