Provider Demographics
NPI:1295320893
Name:WARREN, SARA (CBD, CCE, CLC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:WARREN
Suffix:
Gender:F
Credentials:CBD, CCE, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 SUNSET PL
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-4514
Mailing Address - Country:US
Mailing Address - Phone:901-500-0773
Mailing Address - Fax:
Practice Address - Street 1:7001 SUNSET PL
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-4514
Practice Address - Country:US
Practice Address - Phone:901-500-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula