Provider Demographics
NPI:1548743479
Name:PAKSIMA, SARAH MERIE (MPH, MBA, CD (DONA))
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MERIE
Last Name:PAKSIMA
Suffix:
Gender:F
Credentials:MPH, MBA, CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20004 HICKMAN WAY
Mailing Address - Street 2:
Mailing Address - City:POOLESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20837-2305
Mailing Address - Country:US
Mailing Address - Phone:240-812-2482
Mailing Address - Fax:
Practice Address - Street 1:20004 HICKMAN WAY
Practice Address - Street 2:
Practice Address - City:POOLESVILLE
Practice Address - State:MD
Practice Address - Zip Code:20837-2305
Practice Address - Country:US
Practice Address - Phone:240-812-2482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker