Provider Demographics
NPI:1124755970
Name:TVEDT, SARAH ANN (UAP/MALLL/MA/CNA)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:TVEDT
Suffix:
Gender:F
Credentials:UAP/MALLL/MA/CNA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:TVEDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRAWFORD
Mailing Address - Street 1:6311 54TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-2210
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6311 54TH AVE SE
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-2210
Practice Address - Country:US
Practice Address - Phone:701-721-0484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide