Provider Demographics
NPI:1033718531
Name:SANTA MARIA, SARAH CATHERINE
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:SANTA MARIA
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 1:116 BECKWOODS DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3153
Mailing Address - Country:US
Mailing Address - Phone:304-890-2421
Mailing Address - Fax:
Practice Address - Street 1:116 BECKWOODS DR
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3153
Practice Address - Country:US
Practice Address - Phone:304-890-2421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant