Provider Demographics
NPI:1467958090
Name:DOPPE, SARA REBECCA (DEM)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:REBECCA
Last Name:DOPPE
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2791 PRINCE AVE. #611
Mailing Address - Street 2:
Mailing Address - City:SANDY VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89019
Mailing Address - Country:US
Mailing Address - Phone:702-403-8695
Mailing Address - Fax:
Practice Address - Street 1:2791 PRINCE AVE. #611
Practice Address - Street 2:
Practice Address - City:SANDY VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89019
Practice Address - Country:US
Practice Address - Phone:702-403-8695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay