Provider Demographics
NPI:1649533274
Name:NOPPEN, SARAH NICHOLE (DO)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICHOLE
Last Name:NOPPEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19341 BEAR VALLEY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-5152
Mailing Address - Country:US
Mailing Address - Phone:760-247-6444
Mailing Address - Fax:760-947-5619
Practice Address - Street 1:19341 BEAR VALLEY RD STE 105
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-5152
Practice Address - Country:US
Practice Address - Phone:760-247-6444
Practice Address - Fax:760-947-5619
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101020048207V00000X
CA20A18175207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology