Provider Demographics
NPI:1609630938
Name:DEMARCE, SARAH JANE
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:DEMARCE
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 1:26 WALKING EAGLE CIR
Mailing Address - Street 2:
Mailing Address - City:OBERON
Mailing Address - State:ND
Mailing Address - Zip Code:58357-9702
Mailing Address - Country:US
Mailing Address - Phone:701-381-9426
Mailing Address - Fax:
Practice Address - Street 1:26 WALKING EAGLE CIR
Practice Address - Street 2:
Practice Address - City:OBERON
Practice Address - State:ND
Practice Address - Zip Code:58357-9702
Practice Address - Country:US
Practice Address - Phone:701-381-9426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant