Provider Demographics
NPI:1033989322
Name:HIRSHLAND, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HIRSHLAND
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 1:647 MELLO LN
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2742
Mailing Address - Country:US
Mailing Address - Phone:831-212-2253
Mailing Address - Fax:
Practice Address - Street 1:647 MELLO LN
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2742
Practice Address - Country:US
Practice Address - Phone:831-212-2253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA003-202212-001374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula