Healthcare Provider Details

I. General information

NPI: 1548746928
Provider Name (Legal Business Name): SARAH WYARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH KATHERINE GREGG FNP-C

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 N SANBORN RD
SALINAS CA
93905-2218
US

IV. Provider business mailing address

1761 N FALCON RD
FLAGSTAFF AZ
86004-7791
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-1365
  • Fax:
Mailing address:
  • Phone: 480-221-4092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP11537
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95032615
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: