Provider Demographics
NPI:1487327763
Name:MCCONAHY ZIEMER, SARAH LOUISE
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:MCCONAHY ZIEMER
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 1:28 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99004-2202
Mailing Address - Country:US
Mailing Address - Phone:509-570-0090
Mailing Address - Fax:
Practice Address - Street 1:28 N 5TH ST
Practice Address - Street 2:
Practice Address - City:CHENEY
Practice Address - State:WA
Practice Address - Zip Code:99004-2202
Practice Address - Country:US
Practice Address - Phone:509-570-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-31
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter