Provider Demographics
NPI:1326645318
Name:GREEN, SARAH HELEN (CNM)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:HELEN
Last Name:GREEN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:531 E THOMAS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-3239
Mailing Address - Country:US
Mailing Address - Phone:213-440-4825
Mailing Address - Fax:602-563-8206
Practice Address - Street 1:531 E THOMAS RD STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-3239
Practice Address - Country:US
Practice Address - Phone:213-440-4825
Practice Address - Fax:602-563-8206
Is Sole Proprietor?:No
Enumeration Date:2020-10-03
Last Update Date:2024-01-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ229558363LX0001X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology