Provider Demographics
NPI:1982050076
Name:PRETTEL, SARAH (DOULA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:PRETTEL
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 WILLIAM FLEMING CT APT G
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76115-1167
Mailing Address - Country:US
Mailing Address - Phone:817-719-6638
Mailing Address - Fax:
Practice Address - Street 1:4110 WILLIAM FLEMING CT APT G
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76115-1167
Practice Address - Country:US
Practice Address - Phone:817-719-6638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula