Provider Demographics
NPI:1932679602
Name:TALBERT, SARAH (CPM, LTM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TALBERT
Suffix:
Gender:F
Credentials:CPM, LTM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3035 BRYANT AVE S # 101
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2828
Mailing Address - Country:US
Mailing Address - Phone:320-290-1496
Mailing Address - Fax:
Practice Address - Street 1:1619 DAYTON AVE STE 316
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-6276
Practice Address - Country:US
Practice Address - Phone:132-029-0149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-26
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI300-49176B00000X
MN1072176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife