Provider Demographics
NPI:1114725504
Name:MCNEALY, SARAH STARR
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:STARR
Last Name:MCNEALY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:STARR
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:704 S 75TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4621
Mailing Address - Country:US
Mailing Address - Phone:402-670-5902
Mailing Address - Fax:
Practice Address - Street 1:704 S 75TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4621
Practice Address - Country:US
Practice Address - Phone:402-670-5902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist