Provider Demographics
NPI:1356405682
Name:MEADOWS, SARAH MARTIN (LPN)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MARTIN
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6436 SR 784
Mailing Address - Street 2:
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175-8621
Mailing Address - Country:US
Mailing Address - Phone:606-923-0122
Mailing Address - Fax:606-932-4305
Practice Address - Street 1:6436 STATE ROUTE 784
Practice Address - Street 2:
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175-8621
Practice Address - Country:US
Practice Address - Phone:606-923-0122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH107372164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse