Provider Demographics
NPI:1699239046
Name:MILLINGTON, SARAH CATHERINE (DEM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:MILLINGTON
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 E PARK DR
Mailing Address - Street 2:
Mailing Address - City:ELK RIDGE
Mailing Address - State:UT
Mailing Address - Zip Code:84651-9521
Mailing Address - Country:US
Mailing Address - Phone:801-361-0175
Mailing Address - Fax:
Practice Address - Street 1:560 S STATE ST STE C1
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6346
Practice Address - Country:US
Practice Address - Phone:801-225-5668
Practice Address - Fax:801-225-5668
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay