Provider Demographics
NPI:1912075169
Name:WINTERNITZ, SARAH FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:FRANCES
Last Name:WINTERNITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 HOLGERSON RD
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-9536
Mailing Address - Country:US
Mailing Address - Phone:360-452-9590
Mailing Address - Fax:360-452-7494
Practice Address - Street 1:104 N LAUREL ST
Practice Address - Street 2:SUITE 101
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-2637
Practice Address - Country:US
Practice Address - Phone:360-452-9590
Practice Address - Fax:360-452-7494
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000337612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1123231Medicaid
WA143600OtherWA STATE L&I PROVIDER #
WA1123231Medicaid
C49377Medicare UPIN