Provider Demographics
NPI:1831614288
Name:PITRONE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PITRONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:PITRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IL
Mailing Address - Zip Code:62298-0067
Mailing Address - Country:US
Mailing Address - Phone:618-939-0649
Mailing Address - Fax:
Practice Address - Street 1:4824 E BASELINE RD STE 102
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4677
Practice Address - Country:US
Practice Address - Phone:480-590-6940
Practice Address - Fax:480-530-9413
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA11506237600000X
NVA-2138231H00000X, 237600000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist