| Doctor Name: | SARA ANN REPOLA |
| NPI Number: | 1144462037 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMH-NP,BC |
| License Number: | 27587 |
| Business Practice Address: | 55 Basin Creek Rd Butte, MT - 597019704 |
| Business Phone Number: | 4063142992 |
| Business Fax Number: | |
| Mailing Address: | 55 Basin Creek Rd, BUTTE |
| State: | MT |
| Postal Code: | 597019704 |
| Phone Number: | 4063142992 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2009 |
| NPI Last Update Date: | 03/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 27587 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |