Provider Demographics
NPI:1194329094
Name:STEGMAN, SARAH FRANCES
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:FRANCES
Last Name:STEGMAN
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 1:9494 130TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:CAVALIER
Mailing Address - State:ND
Mailing Address - Zip Code:58220-9535
Mailing Address - Country:US
Mailing Address - Phone:701-520-2764
Mailing Address - Fax:
Practice Address - Street 1:9494 130TH AVE NE
Practice Address - Street 2:
Practice Address - City:CAVALIER
Practice Address - State:ND
Practice Address - Zip Code:58220-9535
Practice Address - Country:US
Practice Address - Phone:701-520-2764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND14709303747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant