Provider Demographics
NPI:1457520850
Name:COUCH, SARAH LYN (RN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYN
Last Name:COUCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 E 73RD ST
Mailing Address - Street 2:APT. 3RW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3856
Mailing Address - Country:US
Mailing Address - Phone:806-441-1910
Mailing Address - Fax:
Practice Address - Street 1:418 E 73RD ST
Practice Address - Street 2:APT. 3RW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3856
Practice Address - Country:US
Practice Address - Phone:806-441-1910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY558288163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse