Provider Demographics
NPI:1811743644
Name:MARIANO, SARAH KATHERINE (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:MARIANO
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 1:3715 MELROSE COTTAGE DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-7588
Mailing Address - Country:US
Mailing Address - Phone:757-304-1048
Mailing Address - Fax:
Practice Address - Street 1:3715 MELROSE COTTAGE DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-7588
Practice Address - Country:US
Practice Address - Phone:757-304-1048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001288431163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse