Healthcare Provider Details

I. General information

NPI: 1235075466
Provider Name (Legal Business Name): SARAH MARIE WAIBEL WARNER DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3597 OAK AVE
FORT WAINWRIGHT AK
99703
US

IV. Provider business mailing address

3597 OAK AVE
FORT WAINWRIGHT AK
99703
US

V. Phone/Fax

Practice location:
  • Phone: 907-361-3013
  • Fax:
Mailing address:
  • Phone: 907-361-3013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License NumberVET201653
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: