Provider Demographics
NPI:1811557044
Name:WRIGHT, SARAH JO
Entity Type:Individual
Prefix:
First Name:SARAH JO
Middle Name:
Last Name:WRIGHT
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 1:117 WOODHILL DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-1613
Mailing Address - Country:US
Mailing Address - Phone:440-467-5005
Mailing Address - Fax:
Practice Address - Street 1:117 WOODHILL DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-1613
Practice Address - Country:US
Practice Address - Phone:440-467-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-348427163WM0102X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn