Sarah Helen Braun

Individual provider Active NPI Point of Service · Arcata, CA

NPI 1407236128 · NPPES record last updated Jun 8, 2015

Key facts

NPI
1407236128
Entity type
Individual (NPI type 1)
Primary specialty
Point of Service 305S00000X
License
175T00000X (CA)
Practice address
961 J St
Arcata, CA 95521-6133
Phone
(707) 601-4614
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
175T00000XCAMDPeer Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 175T00000X CA Yes

Addresses

Primary practice location

961 J St
Arcata, CA 95521-6133

Mailing address

961 J St
Arcata, CA 95521-6133
Phone (707) 601-4614

Other providers in Arcata, CA

All providers in Arcata, CA · Point of Service in California

Sources for this page

Verify at the official NPI Registry.