Provider Demographics
NPI:1801618681
Name:SILVERMAN, SARAH GORHAM (MS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:GORHAM
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13209 CASA BONITA DR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-5611
Mailing Address - Country:US
Mailing Address - Phone:512-964-3390
Mailing Address - Fax:
Practice Address - Street 1:13209 CASA BONITA DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-5611
Practice Address - Country:US
Practice Address - Phone:512-964-3390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS220901174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty