Provider Demographics
NPI:1932444114
Name:SARCH, ATTONIA EDELMAN (RN)
Entity Type:Individual
Prefix:
First Name:ATTONIA
Middle Name:EDELMAN
Last Name:SARCH
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 1:700 S BOSTON AVE
Mailing Address - Street 2:STE 219
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-1607
Mailing Address - Country:US
Mailing Address - Phone:918-587-6264
Mailing Address - Fax:
Practice Address - Street 1:700 S BOSTON AVE
Practice Address - Street 2:STE 219
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-1607
Practice Address - Country:US
Practice Address - Phone:918-587-6264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker