Provider Demographics
NPI:1376093120
Name:WHITE, SARAH ELIZABETH (CSFA, CST)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:WHITE
Suffix:
Gender:F
Credentials:CSFA, CST
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Mailing Address - Street 1:172 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MALABAR
Mailing Address - State:FL
Mailing Address - Zip Code:32950-6055
Mailing Address - Country:US
Mailing Address - Phone:770-324-4467
Mailing Address - Fax:
Practice Address - Street 1:172 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:MALABAR
Practice Address - State:FL
Practice Address - Zip Code:32950-6055
Practice Address - Country:US
Practice Address - Phone:770-324-4467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical