Provider Demographics
NPI:1164067856
Name:WHITTINGTON, SARAH L (LM, CPM)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:L
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 EMORY RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79922-1822
Mailing Address - Country:US
Mailing Address - Phone:631-505-9203
Mailing Address - Fax:
Practice Address - Street 1:4700 EMORY RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79922-1822
Practice Address - Country:US
Practice Address - Phone:631-505-9203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-17
Last Update Date:2019-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99361176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife