Provider Demographics
NPI:1053650697
Name:SEARLE, SARAH DAWN (RN, CCE, RPYT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:DAWN
Last Name:SEARLE
Suffix:
Gender:F
Credentials:RN, CCE, RPYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7771 IVANHOE AVE
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4522
Mailing Address - Country:US
Mailing Address - Phone:310-403-2016
Mailing Address - Fax:
Practice Address - Street 1:7771 IVANHOE AVE
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4522
Practice Address - Country:US
Practice Address - Phone:310-403-2016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA662308163W00000X, 163WM0102X, 374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163W00000XNursing Service ProvidersRegistered Nurse
No374J00000XNursing Service Related ProvidersDoula