Provider Demographics
NPI:1104451954
Name:VINTORINI, SARAH E
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:VINTORINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 WEDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:RAVENSWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26164-9612
Mailing Address - Country:US
Mailing Address - Phone:304-532-8976
Mailing Address - Fax:
Practice Address - Street 1:149 WEDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:RAVENSWOOD
Practice Address - State:WV
Practice Address - Zip Code:26164-9612
Practice Address - Country:US
Practice Address - Phone:304-532-8976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant