Provider Demographics
NPI:1770706244
Name:MCGUIRE, SARAH ELIZABETH (APRN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:GREGSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1005W DOOLIN AVE
Mailing Address - Street 2:
Mailing Address - City:BLACKWELL
Mailing Address - State:OK
Mailing Address - Zip Code:74631-1350
Mailing Address - Country:US
Mailing Address - Phone:580-363-3288
Mailing Address - Fax:
Practice Address - Street 1:1212 N MILDRED ST
Practice Address - Street 2:
Practice Address - City:RANSON
Practice Address - State:WV
Practice Address - Zip Code:25438-5552
Practice Address - Country:US
Practice Address - Phone:304-724-6091
Practice Address - Fax:304-725-7204
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN86996-GNP-BC363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology