Provider Demographics
NPI:1780419150
Name:MERRIWETHER, SARAH VENDEL
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:VENDEL
Last Name:MERRIWETHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2147 MORNING SUN LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3329
Mailing Address - Country:US
Mailing Address - Phone:239-250-1332
Mailing Address - Fax:
Practice Address - Street 1:2147 MORNING SUN LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3329
Practice Address - Country:US
Practice Address - Phone:239-250-1332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program