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NPI Code Detail

MEDICARE: SARAH ELIZABETH ANDERSON

MEDICARE:   SARAH ELIZABETH ANDERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1710711270
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH ANDERSON
Provider Business Mailing Address
First Line : 5451 5TH STREET ROAD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5451 5TH STREET ROAD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704
Country : US
Telephone Number : 304-550-9644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 04/16/2026

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Directions to “ SARAH ELIZABETH ANDERSON ” Practice Location

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