Provider Demographics
NPI:1528513223
Name:KOENIGSEKER, SARAH BETH (CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:KOENIGSEKER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:910-721-4050
Mailing Address - Fax:910-721-4051
Practice Address - Street 1:584 HOSPITAL DR NE UNIT B
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-0020
Practice Address - Country:US
Practice Address - Phone:910-721-4050
Practice Address - Fax:910-721-4051
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.19111367A00000X
NC870367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife