Provider Demographics
NPI:1346462793
Name:MIHALJEVICH, SARA (RN)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:MIHALJEVICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19825 N 15TH AVE
Mailing Address - Street 2:DESERT WINDS ELEMENTARY SCHOOL
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4305
Mailing Address - Country:US
Mailing Address - Phone:623-445-3910
Mailing Address - Fax:623-445-3980
Practice Address - Street 1:19825 N 15TH AVE
Practice Address - Street 2:DESERT WINDS ELEMENTARY SCHOOL
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4305
Practice Address - Country:US
Practice Address - Phone:623-445-3910
Practice Address - Fax:623-445-3980
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN044081163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool