Basic Information
Provider Information
NPI: 1578972980
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRAN
FirstName: SARAH
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13395 N MARANA MAIN ST
Address2:  
City: MARANA
State: AZ
PostalCode: 856537008
CountryCode: US
TelephoneNumber: 5206821091
FaxNumber: 5206827132
Practice Location
Address1: 13395 N MARANA MAIN ST
Address2:  
City: MARANA
State: AZ
PostalCode: 856537008
CountryCode: US
TelephoneNumber: 5206821091
FaxNumber: 5206827132
Other Information
ProviderEnumerationDate: 08/11/2014
LastUpdateDate: 08/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAP7267AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health
363LP0808XRN182785AZN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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