Provider Demographics
NPI:1891926432
Name:ANDREWS, SARAH MARIE (CPM, LM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5964 N LA ROCHELLE DR
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-9355
Mailing Address - Country:US
Mailing Address - Phone:208-704-2765
Mailing Address - Fax:
Practice Address - Street 1:2201 N GOVERNMENT WAY STE C
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-3658
Practice Address - Country:US
Practice Address - Phone:208-704-2765
Practice Address - Fax:208-475-3446
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDMID-33176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife