Provider Demographics
NPI:1972381903
Name:COATS, SARA LIN (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:LIN
Last Name:COATS
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4997 W AMETHYST DR
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84081-2905
Mailing Address - Country:US
Mailing Address - Phone:801-703-0211
Mailing Address - Fax:
Practice Address - Street 1:7971 S 1825 W
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-5703
Practice Address - Country:US
Practice Address - Phone:385-468-5342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach