Provider Demographics
NPI:1689729493
Name:RANZINGER, SARAH ELAINE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELAINE
Last Name:RANZINGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:ELAINE
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1350 WIGGINS RD
Mailing Address - Street 2:
Mailing Address - City:WEST
Mailing Address - State:TX
Mailing Address - Zip Code:76691
Mailing Address - Country:US
Mailing Address - Phone:815-531-4293
Mailing Address - Fax:847-549-1085
Practice Address - Street 1:601 W HWY 6 STE 105
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-5592
Practice Address - Country:US
Practice Address - Phone:254-741-6113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085-002578363AM0700X
IL085002578363AM0700X
TXPA07064363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical