Doctor Name: | JEANINE SARNACKI |
NPI Number: | 1164563201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN132990 |
Business Practice Address: | 350 W Sahuarita Rd Sahuarita, AZ - 856299000 |
Business Phone Number: | 5206253502 |
Business Fax Number: | |
Mailing Address: | Po Box 376, 319 W. Calle La Bolita SAHUARITA |
State: | AZ |
Postal Code: | 856290376 |
Phone Number: | 5204954252 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN132990 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |