Healthcare Provider Details

I. General information

NPI: 1508541293
Provider Name (Legal Business Name): SARAH EMILY BRASIER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH EMILY MAURER AUD

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 TIJERAS AVE NE
ALBUQUERQUE NM
87106-4749
US

IV. Provider business mailing address

1209 FOXFIELD RD
WAXHAW NC
28173-7545
US

V. Phone/Fax

Practice location:
  • Phone: 505-727-1670
  • Fax:
Mailing address:
  • Phone: 571-635-6795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: