Healthcare Provider Details
I. General information
NPI: 1972359982
Provider Name (Legal Business Name): SARA AVERY WARREN-HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/29/2024
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
930 3RD ST
GREENSBORO NC
27405-6967
US
IV. Provider business mailing address
600 MOYE BLVD
GREENVILLE NC
27834-4300
US
V. Phone/Fax
- Phone: 336-890-3200
- Fax: 336-890-3290
- Phone: 252-744-6478
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 929 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: