Provider Demographics
NPI:1861667461
Name:WYLIE, SARAH ELIZABETH (ND)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH
Last Name:WYLIE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 COMMON WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:VT
Mailing Address - Zip Code:05445-4426
Mailing Address - Country:US
Mailing Address - Phone:971-998-2196
Mailing Address - Fax:802-425-6241
Practice Address - Street 1:8 SHARD VILLA RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:VT
Practice Address - Zip Code:05769-9432
Practice Address - Country:US
Practice Address - Phone:802-352-9078
Practice Address - Fax:802-352-1049
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1536175F00000X
VT0990089283175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath