Provider Demographics
NPI:1609183490
Name:MAUST, SARAH ELAINE DIRUSCIO (CNM, RN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELAINE DIRUSCIO
Last Name:MAUST
Suffix:
Gender:F
Credentials:CNM, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5833 MILTON AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3452
Mailing Address - Country:US
Mailing Address - Phone:562-789-9880
Mailing Address - Fax:
Practice Address - Street 1:5833 MILTON AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3452
Practice Address - Country:US
Practice Address - Phone:562-789-9880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1879367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife