Provider Demographics
NPI:1548613821
Name:MERED, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MERED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 MANCHESTER RD APT 301
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4157
Mailing Address - Country:US
Mailing Address - Phone:301-755-8030
Mailing Address - Fax:
Practice Address - Street 1:8900 MANCHESTER RD APT 301
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4157
Practice Address - Country:US
Practice Address - Phone:301-755-8030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide