Provider Demographics
NPI:1235589110
Name:KEIHANY-YAZDY, SARAH SARAH (FNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SARAH
Last Name:KEIHANY-YAZDY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LOWER RAGSDALE
Mailing Address - Street 2:STE 260
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-920-3920
Mailing Address - Fax:978-645-6921
Practice Address - Street 1:2 LOWER RAGSDALE
Practice Address - Street 2:STE 260
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-920-3920
Practice Address - Fax:978-645-6921
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95004413363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily